Individual
DR. MARY PATRICIA FAUROT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 632-5510
(573) 632-5810
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2024030816
MO
Other
Enumeration date
07/01/2020
Last updated
11/25/2025
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