| Doctor Name: | DR. MARK FLOYD ADDERLEY |
| NPI Number: | 1114149903 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 2007032281 |
| Business Practice Address: | 3003 Woodbridge Creek Dr Saint Louis, MO - 631296414 |
| Business Phone Number: | 3142889161 |
| Business Fax Number: | |
| Mailing Address: | 4770 Old School Trl, HILLSBORO |
| State: | MO |
| Postal Code: | 630504929 |
| Phone Number: | 3142889161 |
| Fax Number: | 3148688576 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2007032281 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |