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Dr. Mary E Fallat, MD
Pediatric Surgery Physician in Louisville, Kentucky
NPI 1124025127

Mary E Fallat is a Pediatric Surgery Physician based in Louisville, KY and is specialized in Pediatric Surgery. Mary E Fallat practices in Louisville, KY and has the professional credentials of MD. The NPI Number for Mary E Fallat is 1124025127 and holds a License No. 21050 (Kentucky).

The current practice location address for Mary E Fallat is 234 E Gray St, Louisville, KY and can be reached out via phone at 502-588-0390 and via fax at 502-584-5437. You can also correspond with Mary E Fallat through the mailing address at PO BOX 909, LOUISVILLE, KY - 40201-0909 (mailing address contact number: 502-588-0390).

Location: 234 E Gray St, Louisville, KY, 40201-0909
person
Provider Profile Details
NPI Number
1124025127
Provider Name
Mary E Fallat
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
234 E Gray St, Louisville, KY, 40201-0909
Phone Number
502-588-0390
Fax Number
502-584-5437
Provider Enumeration Date
07/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64210503 05 KY
100330770 05 IN
institution
Provider Business Practice Location Address Details
Address
234 E Gray St
City
State
Zip
40202-1901
Phone Number
502-588-0390
Fax Number
502-584-5437
person
Provider Business Mailing Address Details
Address
Po Box 909
City
State
Zip
40201-0909
Phone Number
502-588-0390
Fax Number
502-584-5437
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
21050 (Kentucky)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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