Individual
DAVID E FALKENHAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1001 N PINE ST, ROLLA, MO 65401-2824
(573) 364-1773
Mailing address
PO BOX 310, ROLLA, MO 65402-0310
(573) 364-1773
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3015
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313147704
—
MO
Enumeration date
07/19/2006
Last updated
07/08/2007
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