Individual
DR. MARK FALTAOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4460 MALIBU PT APT 204, COLORADO SPRINGS, CO 80906-9136
(720) 592-7229
Mailing address
610 E BATTLEFIELD ST STE A, SPRINGFIELD, MO 65807-5793
(877) 972-9247
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
101280454
VA
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0067709
CO
Other
Enumeration date
04/02/2014
Last updated
05/29/2024
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