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Dr. Jonathon Lee Fallis, DPM
Podiatrist in Moberly, Missouri
NPI 1659391084

Jonathon Lee Fallis is a Podiatrist based in Moberly, MO. Jonathon Lee Fallis practices in Moberly, MO and has the professional credentials of DPM. The NPI Number for Jonathon Lee Fallis is 1659391084 and holds a License No. 2002006341 (Missouri).

The current practice location address for Jonathon Lee Fallis is 1513 Union Ave, Moberly, MO and can be reached out via phone at 660-263-6677 and via fax at 660-263-6688.

Location: 1513 Union Ave, Moberly, MO, 65270
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659391084
Provider Name
Jonathon Lee Fallis
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1513 Union Ave, Moberly, MO, 65270
Phone Number
660-263-6677
Fax Number
660-263-6688
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00242773 01 IL RAILROAD MEDICARE
154392 01 MO BLUE CROSS/BLUE SHEILD
305751208 05 MO
P00241817 01 MO RAILROAD MEDICARE
5502300001 01 MO DMERC
P00242773 01 MO RAILROAD MEDICARE
061748265652701 05 IL
institution
Provider Business Practice Location Address Details
Address
1513 Union Ave
City
Moberly
State
Missouri
Zip
65270
Phone Number
660-263-6677
Fax Number
660-263-6688
person
Provider Business Mailing Address Details
Address
1513 Union Ave
City
Moberly
State
Missouri
Zip
65270
Phone Number
660-263-6677
Fax Number
660-263-6688
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
2002006341 (Missouri)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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