Individual
DR. LARRY CHARLES FALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
244 HOSPITAL DR STE A, UKIAH, CA 95482-4557
(707) 468-5000
(707) 468-5097
Mailing address
244 HOSPITAL DR STE A, UKIAH, CA 95482-4557
(707) 468-5000
(707) 468-5097
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G45179
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G451790
—
CA
01
—
G45179
CALIFORNIA MEDICAL LIC#
CA
Enumeration date
09/13/2006
Last updated
07/09/2007
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