Organization
MULLOCK HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALLAS WAYNE MULLOCK DO (OWNER)
(660) 562-2223
Entity
Organization
Contact information
Practice address
2332 S MAIN ST, MARYVILLE, MO 64468-3622
(660) 562-2223
(660) 562-2230
Mailing address
2332 S MAIN ST, MARYVILLE, MO 64468-3622
(660) 562-2223
(660) 562-2230
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
05/06/2024
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