WILLIAM J. FAHRENBACH

FARMINGTON, NM
NPI1639721988
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2020-0096)
Enumeration Date2019-07-16
Last Update Date2020-12-14
Business Address
WILLIAM J. FAHRENBACH PA-C
6012 CARL ST
FARMINGTON, NM 87402-5266
Phone number: 801-647-6101
Mailing Address
WILLIAM J. FAHRENBACH PA-C
2300 E 30TH ST BLDG D
FARMINGTON, NM 87401-8990
Phone number: 801-647-6101