R David Fant MD Psc

NPI #1396915468 in Glasgow, Kentucky

Provider Information

NPI Number: 1396915468
Entity Type: Organization
Organization Name: R David Fant MD Psc
Primary Specialty: Pediatrics
Enumeration Date: Mar 5, 2008
Last Updated: Mar 5, 2008

Practice Location

Address: 1407 NORTH RACE ST
City: Glasgow
State: Kentucky
ZIP Code: 42141
Phone: (270) 651-7736

Authorized Official

Name: MR. R DAVID FANT, MD
Title: OWNER
Phone: (270) 651-7736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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