Individual
NATHAN ANDREW MALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 S KIRKWOOD RD STE 200, KIRKWOOD, MO 63122-6161
(314) 991-4335
Mailing address
333 S KIRKWOOD RD STE 200, KIRKWOOD, MO 63122-6161
(314) 991-4335
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2012011153
MO
Other
Enumeration date
03/23/2007
Last updated
12/02/2022
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