DAVID RANDAL FOHAN

FT WAINWRIGHT, AK
NPI1710954854
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  034591)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: FL  DN009804)
207R00000X Internal Medicine
(Licence: AL  00015943)
Enumeration Date2006-03-08
Last Update Date2017-07-31
Business Address
Dr. DAVID RANDAL FOHAN M.D., D.M.D.
1060 GAFFNEY RD #7440 BASSETT ARMY COMMUNITY HOSPITAL
FT WAINWRIGHT, AK 99703-1474
Phone number: 907-361-6028
Mailing Address
Dr. DAVID RANDAL FOHAN M.D., D.M.D.
3010 CASTLEWOODS DR
MACON, GA 31204-1474
Phone number:
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