Jean R Fairchild PA

NPI 1003167933 - Physician Assistant - 363A00000X

NPI Details
NPI 1003167933
Gender Female
Enumeration Date 10/02/2012
Last Updated 10/02/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
7350 SAND LAKE COMMONS
MEDPLEX B, SUITE 2205
ORLANDO FL, 32819-8040, US
Phone (407) 355-3120
Fax (407) 355-3119
Business Location
7350 SAND LAKE COMMONS
MEDPLEX B, SUITE 2205
ORLANDO FL, 32819-8040, US
Phone (407) 355-3120
Fax (407) 355-3119
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PAT 9106844
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According to our database, Ms. Jean R Fairchild PA NPI is 1003167933, taxonomy code is 363A00000X and license number is PAT 9106844, license state is located at Florida. Jean R Fairchild PA physically located at 7350 Sand Lake Commons, Orlando FL, 32819-8040. NPI Number Jean R Fairchild PA has the Individual type.

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1003167933 NPI number is provided on an as is basis without warranty of any kind. 1003167933 is maintained by the National Plan & Provider Enumeration System. The contents of Jean R Fairchild PA are for informational purposes only.