Organization
ROBERT J FANNING, JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J FANNING JR. DO (CARDIOLOGIST)
(304) 242-1273
Entity
Organization
Contact information
Practice address
1307 MOUNT DE CHANTAL RD, WHEELING, WV 26003-6334
(304) 242-1273
(304) 242-1422
Mailing address
1307 MOUNT DE CHANTAL RD, WHEELING, WV 26003-6334
(304) 242-1273
(304) 242-1422
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1431
WV
363L00000X
Nurse Practitioner
46155
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6001141
—
WV
Enumeration date
09/26/2006
Last updated
11/25/2014
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