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Individual
MR. JOHN MATTHEW FAY
Active
Individual
MR. JOHN MATTHEW FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR44193
CO
207Q00000X
Family Medicine Physician
Primary
MD20060672
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53123877
—
NM
Enumeration date
04/06/2006
Last updated
01/17/2012
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