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Individual

MICHAEL PETER FALLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
605 PARFET ST, LAKEWOOD, CO 80215-5576
(303) 462-2273
(303) 462-2274
Mailing address
3464 S WILLOW ST # 162, DENVER, CO 80231-4531
(303) 755-2900
(303) 745-7997

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31188
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01311885
CO
Enumeration date
08/04/2006
Last updated
06/03/2009
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