DR. Benny Fair JR., D.P.M.

NPI #1295838365 in Fort Wayne, Indiana

Provider Information

NPI Number
1295838365
Entity Type
Individual
Name
DR. Benny Fair JR., D.P.M.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Podiatrist
Credential
D.P.M.
Enumeration Date
Sep 6, 2006
Last Updated
Jan 2, 2025

Practice Location

Address
2700 LAFAYETTE ST
Address 2
SUITE 120
State
Indiana
ZIP Code
46806-1100
Phone
(260) 458-9953

Specialties & Taxonomy Codes

Specialty
Podiatrist

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