Micheal J Fallon | Spokane, WA • PECOS Search

Micheal J Fallon

Anesthesiology

Allopathic & Osteopathic Physicians

911 W 5th Ave, Spokane, WA 99204-2901

(509) 623-0428 (813) 281-8478

PECOS Enrollment

Based on the most recent information from CMS, provider Micheal J Fallon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1801808316
Provider Type
Individual
Full Name
Fallon, Micheal J
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
8/13/2006
Last Updated
6/18/2010

Contact Information

Practice Location

911 W 5th Ave, Spokane, WA 99204-2901

(509) 623-0415

Mailing Location

Shriners Hospitals For Children Spokane, Dept 5046, Los Angeles, CA 90084-5046

(813) 281-8113

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License MD00042809 Washington