Individual
MICHAEL J FALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
535 16TH ST, STE 750, DENVER, CO 80202-4228
(303) 825-4646
(303) 825-3215
Mailing address
535 16TH ST, STE 750, DENVER, CO 80202-4228
(303) 825-4646
(303) 825-3215
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47743
CO
207RP1001X
Pulmonary Disease Physician
Primary
O-1046
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12783340
—
CO
Enumeration date
08/22/2008
Last updated
06/06/2017
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