National Provider Identifier Database

MALLORY B WARREN BROTHERS, PA-C – NPI #1043925639
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

MALLORY B WARREN BROTHERS, PA-C
608 OLD ROUTE 66
SAINT ROBERT, MO65584-3730
Phone: 573-336-5100
Fax:
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for MALLORY B WARREN BROTHERS

NPI Number 1043925639
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/18/2023
Last updated 03/31/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2023011900
  • MO License #: 588293
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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