Individual
DR. DALLAS MULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2332 S MAIN ST, MARYVILLE, MO 64468-3622
(660) 562-2223
(660) 562-2230
Mailing address
2332 S MAIN ST, MARYVILLE, MO 64468-3622
(660) 562-2223
(660) 562-2230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015023403
MO
Other
Enumeration date
07/21/2015
Last updated
05/21/2020
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