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Individual

DR. CARLOS FALCON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655
(319) 768-3628
(319) 768-3633
Mailing address
PO BOX 668, WEST BURLINGTON, IA 52655-0668
(319) 768-3628
(319) 768-3633

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
3Z896
IA
207P00000X
Emergency Medicine Physician
32896
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0184838
IA
01
49571
BX
IA
01
930097506
RR MC
IA
Enumeration date
11/18/2005
Last updated
05/23/2018
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