Fairgrounds Family Physicians Pllc

NPI 1174690440 - Family Medicine - 207Q00000X

NPI Details
NPI 1174690440
Enumeration Date 11/29/2006
Last Updated 07/22/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JARROD L JARROD
Position PARTNER
Phone (315) 682-6165
Fax (615) 682-7929
Practice Location
115 FAIRGROUNDS DRIVE
MANLIUS NY, 13104, US
Phone (315) 682-6165
Fax (615) 682-7929
Business Location
115 FAIRGROUNDS DRIVE
MANLIUS NY, 13104, US
Phone (315) 682-6165
Fax (615) 682-7929
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1174690440 NPI Number
 

According to our database, Fairgrounds Family Physicians Pllc NPI is 1174690440, taxonomy code is 207Q00000X Fairgrounds Family Physicians Pllc physically located at 115 Fairgrounds Drive, Manlius NY, 13104. NPI Number 1033115704 has the healthcare provider type.

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1174690440 NPI number is provided on an as is basis without warranty of any kind. 1174690440 is maintained by the National Plan & Provider Enumeration System. The contents of Fairgrounds Family Physicians Pllc are for informational purposes only.