R DAVID FANT MD PSC

GLASGOW, KY
NPI1396915468
Entity TypeOrganization
Authorized ContactR DAVID FANT
Owner
270-651-7736
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2008-03-05
Last Update Date2008-03-05
Business Address
R DAVID FANT MD PSC
1407 NORTH RACE ST
GLASGOW, KY 42141
Phone number: 270-651-7736
Mailing Address
R DAVID FANT MD PSC
PO BOX 517
GLASGOW, KY 42142-0517
Phone number: 270-651-7736
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