Individual
MICHELE O'FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4048 LAUREL ST, ANCHORAGE, AK 99508-5333
(907) 770-7800
(907) 929-4660
Mailing address
4048 LAUREL ST, ANCHORAGE, AK 99508-5391
(907) 770-7800
(907) 929-4660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3566
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710889996
TAX ID
AK
Enumeration date
01/26/2006
Last updated
03/01/2010
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