Fairborn Family Practice Assoc
Fairborn Family Practice Assoc is a Family Medicine Physician in Fairborn, Ohio. Licensed in Ohio. Registered with an NPI since 2006.
- Licensed in
- OH
- In the registry since
- 2006
Practice location Address checks out
850 E Xenia Dr Ste 600Fairborn, OH 45324-8760
Phone: (937) 878-8644
Fax: (937) 878-8646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 34002102P (OH) |
|---|
Record details
| NPI number | 1548224579 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Peterangelo — President · (937) 878-8644 |
| NPI enumerated | April 14, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 850 E Xenia Drive, Suite 600, Fairborn, OH 45324-8760 |
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