Individual
ROBERT L MABRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5325 FARAON ST, ST JOESEPH, MO 64506
(816) 753-4647
Mailing address
144 LANDA ST, APT 357, NEW BRAUNFELS, TX 78130-7922
(830) 627-9355
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2006023532
MO
Other
Enumeration date
09/29/2006
Last updated
07/17/2007
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