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1184708174
MARK R. FAHEY
SANTA ROSA, CA
NPI
1184708174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA G38339)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
MARK R. FAHEY MD
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-571-4000
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Mailing Address
MARK R. FAHEY MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3429
Phone number: 510-625-6262
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