Provider Demographics
NPI:1710948294
Name:FALCON, JENNINGS C II (MD)
Entity Type:Individual
Prefix:
First Name:JENNINGS
Middle Name:C
Last Name:FALCON
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:301 W POPLAR ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2800
Mailing Address - Country:US
Mailing Address - Phone:509-525-1084
Mailing Address - Fax:509-529-7866
Practice Address - Street 1:301 W POPLAR ST
Practice Address - Street 2:SUITE 230
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2800
Practice Address - Country:US
Practice Address - Phone:509-525-1084
Practice Address - Fax:509-529-7866
Is Sole Proprietor?:No
Enumeration Date:2006-04-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WA248282084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology