MR. William Harris Fanter, PA

NPI #1053671701 in Des Moines, Iowa

Provider Information

NPI Number: 1053671701
Entity Type: Individual
Name: MR. William Harris Fanter, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 29, 2012
Last Updated: May 29, 2012

Practice Location

Address: 3901 INGERSOLL AVE
City: Des Moines
State: Iowa
ZIP Code: 50312-3505
Phone: (515) 274-9136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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