Organization
BRYAN FALLIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN FALLIS DPM (DPM/OWNER)
(859) 341-2440
Entity
Organization
Contact information
Practice address
1210 KY HIGHWAY 36 E, CYNTHIANA, KY 41031-7498
(859) 341-2440
(859) 341-2449
Mailing address
1210 KY HIGHWAY 36 E, CYNTHIANA, KY 41031-7498
(859) 341-2440
(859) 341-2449
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
05/20/2015
Last updated
01/29/2020
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