BRYAN FALLIS

LAKESIDE PARK, KY
NPI1720314966
Doing Business AsPROGRESSIVE PODIATRY
Entity TypeOrganization
Authorized ContactBRYAN V FALLIS
Owner
859-331-2440
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Additional Taxonomies213E00000X Podiatrist
(Licence: KY  00258)
Enumeration Date2009-10-22
Last Update Date2020-01-29
Business Address
BRYAN FALLIS
2300 CHAMBER CENTER DR SUITE 100
LAKESIDE PARK, KY 41017-1673
Phone number: 859-331-2440
Mailing Address
BRYAN FALLIS
PO BOX 636389
CINCINNATI, OH 45263-0001
Phone number: 859-557-4260