Individual
ROBERT FORSYTH FALLON JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 MCKINLEY AVE, KELLOGG, ID 83837
(208) 783-1267
Mailing address
25 JACOBS GULCH RD, KELLOGG, ID 83837-2023
(208) 784-7017
(208) 786-1019
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M7400
ID
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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