Dr MARK F ADDERLEY is a male medical professional, specializing in Physical Medicine And Rehabilitation. He graduated in 2006.
404 MAIN ST
FENTON
MO
630264107
Tel:
| Npi | 1114149903 |
| Pac Id | 1052489887 |
| Professional Enrollment Id | I20081007000575 |
| Last Name | ADDERLEY |
| First Name | MARK |
| Middle Name | F |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialty 1 | GENERAL PRACTICE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GENERAL PRACTICE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 404 MAIN ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FENTON |
| State | MO |
| Zip Code | 630264107 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 260023 |
| Hospital Affiliation Lbn 1 | MERCY HOSPITAL JEFFERSON |
| Hospital Affiliation Ccn 2 | 260020 |
| Hospital Affiliation Lbn 2 | MERCY HOSPITAL ST LOUIS |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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