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Individual

DR. DAVID HENRY FONKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2018 FORT BRAGG RD, SUITE 110A, FAYETTEVILLE, NC 28303-7037
(910) 850-9646
(910) 483-0676
Mailing address
2018 FORT BRAGG RD, SUITE 110A, FAYETTEVILLE, NC 28303-7037
(910) 850-9646
(910) 483-0676

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2691
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0836U
BLUE CROSS BLUE SHIELD
NC
05
8090836U
NC
Enumeration date
08/03/2006
Last updated
09/28/2011
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