Individual
SAMANTHA FALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1200 BROOKS LN STE 170, JEFFERSON HILLS, PA 15025-3759
(412) 469-7110
Mailing address
1200 BROOKS LN STE 170, JEFFERSON HILLS, PA 15025-3759
(412) 469-7110
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS023792
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16172527
CAQH
—
Enumeration date
04/06/2018
Last updated
06/19/2024
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