| NPI | 1811606189 |
|---|---|
| Doing Business As | FALLON FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | STEPHEN RAY JENSEN Secretary 575-522-1779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2023-06-08 |