IAN LESTER FAWKS

SPRINGFIELD, MO
NPI1386640910
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  115964)
Enumeration Date2005-06-28
Last Update Date2019-12-02
Business Address
IAN LESTER FAWKS DO
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807-5210
Phone number: 417-269-7728
Mailing Address
IAN LESTER FAWKS DO
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone number: 417-269-5712
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