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Individual
ROBERT S FAN
Active
Individual
ROBERT S FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G81021
CA
207X00000X
Orthopaedic Surgery Physician
Primary
MD27700
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G810210
—
CA
05
—
274415
—
OR
Enumeration date
05/27/2005
Last updated
01/25/2022
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