Dale Frederick Fath, OD

NPI #1750358347 in Ft Wayne, Indiana

Provider Information

NPI Number: 1750358347
Entity Type: Individual
Name: Dale Frederick Fath, OD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Mar 2, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 7750 W JEFFERSON BLVD
City: Ft Wayne
State: Indiana
ZIP Code: 46804
Phone: (260) 459-9595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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