MITCHELL THOMAS FALLON

SAN DIEGO, CA
NPI1720366255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA21619)
Enumeration Date2011-08-02
Last Update Date2014-05-29
Business Address
-- MITCHELL THOMAS FALLON PAC
3760 CONVOY ST 114
SAN DIEGO, CA 92111-3742
Phone number: 858-715-8444
Mailing Address
-- MITCHELL THOMAS FALLON PAC
3760 CONVOY ST 114
SAN DIEGO, CA 92111-3742
Phone number: 858-715-8444
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