Individual
DR. MALLORY SHIVER ABATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1225 S GRAND BLVD FL 3, SAINT LOUIS, MO 63104-1016
(314) 256-3400
Mailing address
1008 S SPRING AVE FL 3, SAINT LOUIS, MO 63110-2520
(314) 977-9711
(314) 977-1802
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2017014176
MO
Other
Enumeration date
04/09/2013
Last updated
02/22/2021
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