Individual
JOHN DEMORLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HIGHWAY 72 N, BLDG # 1, SALEM, MO 65560-0678
(573) 729-3410
(573) 729-6526
Mailing address
PO BOX 678, SALEM, MO 65560-0678
(573) 729-4310
(573) 729-6526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R2C15
MO
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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