Individual
MICHAEL DOMINIC FALLACARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNS, CRNA
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4937
(804) 565-6600
Mailing address
1504 SANTA ROSA RD, SUITE 206, RICHMOND, VA 23229-5109
(804) 288-4453
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024157772
VA
Other
Enumeration date
08/09/2005
Last updated
11/17/2011
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