DR. Jonathon Lee Fallis, DPM

NPI #1659391084 in Moberly, Missouri

Provider Information

NPI Number: 1659391084
Entity Type: Individual
Name: DR. Jonathon Lee Fallis, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Jul 20, 2006
Last Updated: Oct 19, 2015

Practice Location

Address: 1513 UNION AVE
Address 2: SUITE 1400
City: Moberly
State: Missouri
ZIP Code: 65270
Phone: (660) 263-6677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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Organizations

Provider Name	Specialty	City
Jonathon Fallis Dpm LLC	Podiatrist	Moberly	AI Deep Dive

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