Individual
DR. MATTHEW FALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(618) 979-1561
Mailing address
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(618) 979-1561
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101267548
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2018
Last updated
01/07/2024
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