Bryan Fallis

NPI 1083606974 - Podiatrist - 213E00000X

NPI Details
NPI 1083606974
Gender Male
Enumeration Date 08/17/2005
Last Updated 01/19/2016
Entity Type Individual
Active Over 12 years ago
Practice Location
FORT MITCHELL KY, 41017-1673, US
Phone (859) 331-2440
Fax (859) 331-2449
Business Location
PO BOX 636389
CINCINNATI OH, 45263-0001, US
Phone (513) 931-0083
Fax (859) 331-2449
Taxonomy Code 213E00000X
License State Kentucky
License Number 00258
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According to our database, Bryan Fallis NPI is 1083606974, taxonomy code is 213E00000X and license number is 00258, license state is located at Kentucky. Bryan Fallis physically located at 2300 Chambers Center Dr, Fort Mitchell KY, 41017-1673. NPI Number Bryan Fallis has the Individual type.

1083606974 NPI number is provided on an as is basis without warranty of any kind. 1083606974 is maintained by the National Plan & Provider Enumeration System. The contents of Bryan Fallis are for informational purposes only.