DAREN FOMIN

FT RILEY, KS
NPI1982132510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: KS  05-44847)
Additional Taxonomies207N00000X Dermatology
(Licence: VA  0102205409)
Enumeration Date2017-05-26
Last Update Date2024-02-14
Business Address
Dr. DAREN FOMIN DO
650 HUEBNER RD
FT RILEY, KS 66442-4030
Phone number: 785-239-8341
Mailing Address
Dr. DAREN FOMIN DO
1037 LOBDELL DR
MANHATTAN, KS 66503-7610
Phone number:
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