Individual
CAMERON R FAILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
14300 E 138TH STE B, FISHERS, IN 46037-0051
(800) 622-6575
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004939A
IN
363A00000X
Physician Assistant
50.007943RX
OH
363AS0400X
Surgical Physician Assistant
10004939A
IN
Other
Enumeration date
12/08/2022
Last updated
09/09/2025
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