Edwin L Fuentes D.O.

NPI 1053360966 - Family Medicine - 207Q00000X

NPI Details
NPI 1053360966
Gender Male
Enumeration Date 05/08/2006
Last Updated 07/05/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
109 DEER RUN RD
DANVILLE VA, 24540-2863, US
Phone (434) 791-0306
Fax (434) 791-0310
Business Location
109 DEER RUN RD
DANVILLE VA, 24540-2863, US
Phone (434) 791-0306
Fax (434) 791-0310
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number 0102050134
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According to our database, Dr. Edwin L Fuentes D.O. NPI is 1053360966, taxonomy code is 207Q00000X and license number is 0102050134, license state is located at Virginia. Edwin L Fuentes D.O. physically located at 109 Deer Run Rd, Danville VA, 24540-2863. NPI Number Edwin L Fuentes D.O. has the Individual type.

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1053360966 NPI number is provided on an as is basis without warranty of any kind. 1053360966 is maintained by the National Plan & Provider Enumeration System. The contents of Edwin L Fuentes D.O. are for informational purposes only.