Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marcus Binstead Mallen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669132403

Marcus Binstead Mallen, MD is a Student in an Organized Health Care Education/Training Program in Fayette, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

308 S Church St
Fayette, MO 65248-1243
Phone: (660) 248-2217
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1601 Kittyhawk Dr Apt 3, Columbia, MO 65202-0955 — (816) 617-3870

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2025024726 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669132403
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 21, 2021
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address1 Hospital Dr, Columbia, MO 65212-1243

Other providers in Fayette