NPI | 1750084646 |
---|---|
Doing Business As | FALLON FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | STEPHEN RAY JENSEN Owner 575-522-1779 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2023-03-22 |
Last Update Date | 2024-09-20 |