Fairborn Family Practice Assoc

NPI #1548224579 in Fairborn, Ohio

Provider Information

NPI Number: 1548224579
Entity Type: Organization
Organization Name: Fairborn Family Practice Assoc
Primary Specialty: Family Medicine
Enumeration Date: Apr 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 850 E XENIA DRIVE
Address 2: SUITE 600
City: Fairborn
State: Ohio
ZIP Code: 45324-8760
Phone: (937) 878-8644

Authorized Official

Name: JOHN JOSEPH PETERANGELO, DO
Title: PRESIDENT
Phone: (937) 878-8644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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