Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0127X | Trauma Surgeon | 35-065116F | OH |
NPI | 1407811862 |
---|---|
Provider Name | William F Fallon |
First Address | Akron, OH 44304-1619 |
Second Address | Akron, OH 44304-1613 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0926092 | (05) | OH |
D52477 | (02) |