OrganizationActive
Adderley Medical Group, L.L.C.
NPI 1134433659 · General Practice Physician · Festus, MO
Provider details
- NPI number
- 1134433659
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Adderley, Member(314) 288-9161
- License
- 2007032281 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1400 US Highway 61
Festus, MO 63028-4100
Phone: (314) 288-9161
Approximate (ZIP-level) locationGet directions
Mailing address
4770 Old School Trl
Hillsboro, MO 63050-4929
Registry dates
- Enumerated
- 2010-07-27
- Last updated
- 2024-06-12
- Certified
- 2021-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.