Provider Demographics
NPI:1518066992
Name:FALCON, MARK (DC)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:
Last Name:FALCON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7878 E WRIGHTSTOWN RD
Mailing Address - Street 2:STE. 128
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-4362
Mailing Address - Country:US
Mailing Address - Phone:520-546-2222
Mailing Address - Fax:
Practice Address - Street 1:7878 E WRIGHTSTOWN RD
Practice Address - Street 2:STE. 128
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-4362
Practice Address - Country:US
Practice Address - Phone:520-546-2222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5038111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU21954Medicare UPIN