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Individual

ROBERT J FALLIS

Active
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Individual

ROBERT J FALLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35128980
OH
2084N0400X
Neurology Physician
Primary
35348
TN
2084P0800X
Psychiatry Physician
35348
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0196629
OH
05
1511172
TN
Enumeration date
08/10/2005
Last updated
12/17/2025
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