| NPI | 1821164955 |
|---|---|
| Doing Business As | O FALLON FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RAYMOND P DAVIDSON President 314-286-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-03-26 |