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BRYAN V FALLIS
2300 CHAMBERS CTR DR SUITE 100 FT MITCHELL KY 410171673
BRYAN V FALLIS is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1083606974. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 7315912037. The primary specialty is PODIATRY. The organization is . The address is 2300 CHAMBERS CTR DR, SUITE 100, FT MITCHELL, KY, 410171673. The zip code is 410171673.
|Nation Provider ID||1083606974|
|PAC ID by PECOS||7315912037|
|Professional Enrollment ID||I20090630000198|
|Name||BRYAN V FALLIS|
|Medical School Name||OHIO COLLEGE OF PODIATRIC MEDICINE|
|All secondary specialties|
|Group Practice PAC ID|
|Number of Group Practice members||0|
|Address||2300 CHAMBERS CTR DR, SUITE 100, FT MITCHELL, KY, 410171673|
|Hospital affiliation LBN||MERCY HEALTH-FAIRFIELD HOSPITAL LLC|