MR. William Travis Fann, MS,ATC,PA-C

NPI #1962667881 in Lithia, Florida

Provider Information

NPI Number: 1962667881
Entity Type: Individual
Name: MR. William Travis Fann, MS,ATC,PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MS,ATC,PA-C
Enumeration Date: Jul 21, 2008
Last Updated: Oct 26, 2023

Practice Location

Address: 13837 CIRCA CROSSING DR
City: Lithia
State: Florida
ZIP Code: 33547-4382
Phone: (813) 684-2663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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