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MARK J MAHER
8641 WATSON RD ST LOUIS MO 631195109
MARK J MAHER is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1871594606. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 5991876641. The primary specialty is CHIROPRACTIC. The organization is . The address is 8641 WATSON RD, , ST LOUIS, MO, 631195109. The zip code is 631195109.
|Nation Provider ID||1871594606|
|PAC ID by PECOS||5991876641|
|Professional Enrollment ID||I20080624000302|
|Name||MARK J MAHER|
|Medical School Name||OTHER|
|All secondary specialties|
|Group Practice PAC ID|
|Number of Group Practice members||0|
|Address||8641 WATSON RD, , ST LOUIS, MO, 631195109|
|Hospital affiliation LBN|