MARCUS MALLEN, MD
Family Medicine
Active
Individual
NPI: 1669132403
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Family Medicine | 207Q00000X | Yes | 2025024726 (MO) |
Frequently Asked Questions
NPI 1669132403 is the National Provider Identifier for MARCUS MALLEN, MD, a Family Medicine provider located in Fayette, MO. This NPI was enumerated on December 21, 2021.
MARCUS MALLEN, MD practices at 308 S CHURCH ST, Fayette, MO 65248.
Quick Facts
- NPI
- 1669132403
- Type
- Individual
- Enumerated
- Dec 21, 2021
- Last Updated
- Jun 30, 2025
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