NPI

Michael J Fahr

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
M.D.
Type
Individual
Enumeration date
2005-10-03
Last updated
2010-07-29

Specialties

Licenses

License AR
E1387

Location

Practice location
2302 College Ave
City
Conway AR
Postal code
72034-6297
Phone
(501) 513-5793

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

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