Dennis L. Fast MD INC

NPI #1629335716 in Pendleton, Indiana

Provider Information

NPI Number: 1629335716
Entity Type: Organization
Organization Name: Dennis L. Fast MD INC
Primary Specialty: Family Medicine
Enumeration Date: Apr 13, 2012
Last Updated: Apr 13, 2012

Practice Location

Address: 350 JH WALKER DR
Address 2: SUITE 110
City: Pendleton
State: Indiana
ZIP Code: 46064-8750
Phone: (765) 622-0003

Authorized Official

Name: DR. DENNIS LEE FAST, M.D.
Title: PRESIDENT
Phone: (765) 622-0003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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