Warren-Brothers, Mallory B

Warren-Brothers, Mallory B is an individual health care provider with primary practice located at 608 Old Route 66 , Saint Robert MO 65584-3730. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Warren-Brothers, Mallory B can be contacted via phone (573) 336-5100.

Contact Information

Primary practice address
608 Old Route 66 Saint Robert MO 65584-3730
Phone: (573) 336-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 588293 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2023011900 Missouri

Profile Details

NPI number 1043925639
LBN Legal business name Warren-Brothers, Mallory B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2023
Last updated Mar 31st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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