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Organization

BRIAN G. FABIAN MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN GEORGE FABIAN MD (PRESIDENT)
(239) 949-0742
Entity
Organization

Contact information

Practice address
26800 S TAMIAMI TRL STE 310, BONITA SPRINGS, FL 34134-4348
(239) 949-0742
(239) 949-0768
Mailing address
26800 S TAMIAMI TRL STE 310, BONITA SPRINGS, FL 34134-4348
(239) 949-0742
(239) 949-0768

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME75652
FL

Other

Enumeration date
02/14/2008
Last updated
02/14/2008
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