Jonathon Fallis Dpm LLC

NPI #1154341592 in Moberly, Missouri

Provider Information

NPI Number: 1154341592
Entity Type: Organization
Organization Name: Jonathon Fallis Dpm LLC
Primary Specialty: Podiatrist
Enumeration Date: Jul 20, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 1513 UNION AVE
Address 2: SUITE 1400
City: Moberly
State: Missouri
ZIP Code: 65270
Phone: (660) 263-6688

Authorized Official

Name: DR. JONATHON LEE FALLIS, DPM
Title: OWNER
Phone: (660) 263-6677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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Provider Name	Specialty	City
DR. Jonathon Lee Fallis, DPM	Podiatrist	Moberly	AI Deep Dive
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DR. David J Dragoo JR., D.P.M.	Podiatrist	Columbia	AI Deep Dive
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