Individual
RICHARD T FALTER
Active
Individual
RICHARD T FALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0413947
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0413947
STATE LICENSE
KS
05
—
100082640A
—
KS
01
—
CD2825
RAILROAD MEDICARE GROUP NUMBER
KS
01
—
P00466504
RAILROAD MEDICARE PTAN
KS
Enumeration date
03/01/2006
Last updated
05/07/2008
Update your record
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