MR. John Matthew Fay, MD

NPI #1104888783 in Los Alamos, New Mexico

Provider Information

NPI Number: 1104888783
Entity Type: Individual
Name: MR. John Matthew Fay, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 6, 2006
Last Updated: Jan 17, 2012

Practice Location

Address: 3917 WEST ROAD
Address 2: SUITE A MANNM
City: Los Alamos
State: New Mexico
ZIP Code: 87544
Phone: (505) 661-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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