Barry L Fallesen

NPI #1811224223 in Gridley, California

Provider Information

NPI Number: 1811224223
Entity Type: Organization
Organization Name: Barry L Fallesen
Primary Specialty: Optometrist
Enumeration Date: Nov 5, 2009
Last Updated: Nov 3, 2010

Practice Location

Address: 235 SPRUCE ST
City: Gridley
State: California
ZIP Code: 95948-2215
Phone: (530) 846-2697

Authorized Official

Name: BARRY L FALLESEN
Title: OPTOMETRIST
Phone: (530) 846-2697

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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