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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHON LEE FALLIS, DPM

Active Sole Proprietor

DR. JONATHON LEE FALLIS, DPM is a Podiatrist healthcare provider located in MOBERLY, Missouri. NPI 1659391084 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · MOBERLY, MO

Registration Details

NPI Number
1659391084
Provider Type
Individual
Gender
Male
NPI Issued
Jul 20, 2006 (19.881317519188 yrs)
Last Updated
Oct 19, 2015
License
2002006341 (MO)
Sole Proprietor
Yes

Practice Information

Address
1513 UNION AVE
SUITE 1400
MOBERLY, MO, 65270
Browse MO providers · Browse ZIP 65270
Phone
6602636677
Fax
6602636688
Primary Specialty
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.