Individual
ERICK A FALCONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 W BANNOCK ST, STE 1129, BOISE, ID 83702-5999
(725) 312-3000
Mailing address
10287 CLAYTON RD, SUITE 200, SAINT LOUIS, MO 63124-1172
(314) 692-2639
(314) 692-2649
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036112484
IL
207P00000X
Emergency Medicine Physician
115456
MO
207Q00000X
Family Medicine Physician
Primary
9861074
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235182189
—
MO
Enumeration date
05/19/2006
Last updated
08/12/2025
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