Individual
DR. MARY S FALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 S NEW BALLAS RD, SJMMC - DEPT. OF ANESTHESIA, SAINT LOUIS, MO 63141-8221
(636) 386-9224
(636) 386-9224
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
115335
MO
Other
Enumeration date
01/30/2006
Last updated
10/30/2007
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