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Individual

JOHN R FEARON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
205 E PALMER RD, BELLEFONTAINE, OH 43311-2281
(937) 592-4015
Mailing address
110 DOWELL AVE, BELLEFONTAINE, OH 43311-2305

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34002350F
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000026809
ANTHEM
01
010039356
RR MEDICARE
05
2051587
OH
01
341407259
CIGNA
01
341407259037
MEDICAL MUTUAL
01
7755544
AETNA
01
87726
UHC
01
FE0923062
TRICARE
Enumeration date
06/08/2006
Last updated
02/18/2013
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