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NPI Verification

National Provider Identifier: 1710954854

David Randal Fohan, M.d., D.m.d.

Individual Provider

Credentials

M.D., D.M.D.

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (3)

Dentist, General Practice

Code: 1223G0001X

Internal Medicine

Code: 207R00000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

1060 GAFFNEY RD #7440

BASSETT ARMY COMMUNITY HOSPITAL

FT WAINWRIGHT, AK 997031474

Phone: 907-361-6028

NPI Enumeration Date

March 8, 2006

NPI Number

1710954854

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
David Fohan, M.d., D.m.d. - NPI 1710954854 | Provider Verification | HormoneMap