Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | OS017356 | PA |
Y | 208600000X | Surgeon | OS017356 | PA |
N | 2082S0105X | Plastic Hand Surgeon | OS017356 | PA |
NPI | 1851582332 |
---|---|
Provider Name | Christopher Falcon |
First Address | Natrona Heights, PA 15065 |
Second Address | Natrona Heights, PA 15065-1907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2007 |
Last Update Date | 17/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0008642530002 | (05) | PA |
084065 | (02) | PA |
417716ZPQE | PTAN (01) | PA |