Individual
DR. MARK MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
618 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
(573) 756-3400
Mailing address
608 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
(573) 756-3400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002019561
MO
Other
Enumeration date
12/07/2006
Last updated
02/12/2020
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