Individual
DR. ANDRE FALLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 502-6135
(918) 502-6137
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
40275
OK
2080P0203X
Pediatric Critical Care Medicine Physician
60051227
WA
2080P0214X
Pediatric Pulmonology Physician
60051227
WA
Other
Enumeration date
03/16/2006
Last updated
09/21/2023
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