Individual provider · Type 1 NPI

Madison Leigh Fallis, DO

Military Health Care Provider · O Fallon, IL

NPI number 1831979491 Active

Practice location

3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284

Call (618) 256-9355 Map

Fax (618) 206-2332

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1831979491

Madison Leigh Fallis, DO's National Provider Identifier is 1831979491, issued on Oct 2, 2023. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in O Fallon, IL. The record was last updated on Sep 10, 2026.