Provider Demographics
NPI:1730221615
Name:SCOTT FALLEY, MD, PC
Entity type:Organization
Organization Name:SCOTT FALLEY, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:FALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-442-4208
Mailing Address - Street 1:210 N EWING ST
Mailing Address - Street 2:APT #4
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4264
Mailing Address - Country:US
Mailing Address - Phone:406-442-4208
Mailing Address - Fax:
Practice Address - Street 1:210 N EWING ST
Practice Address - Street 2:APT #4
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4264
Practice Address - Country:US
Practice Address - Phone:406-442-4208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD 16749207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty