Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 184 | AL |
NPI | 1023180882 |
---|---|
Provider Name | Dr. Eric Todd Falls |
First Address | Vestavia Hls, AL 35242-2237 |
Second Address | Vestavia Hls, AL 35242-2237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 27/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U70791 | (02) |