Individual
PATRICK FANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833
(650) 934-7900
Mailing address
2350 W EL CAMINO REAL, 2ND FLOOR, MOUNTAIN VIEW, CA 94040-6201
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G65619
CA
Other
Enumeration date
10/06/2006
Last updated
11/30/2011
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