Individual
DR. GAIL DENISE FANCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
85 MECHANIC ST, ATTN: CREDENTIALS (CMC), LEBANON, NH 03766-1537
(620) 873-0382
Mailing address
PO BOX 43, LEBANON, NH 03766-0043
(620) 873-0382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-25856
KS
2083A0100X
Aerospace Medicine Physician
05-25856
KS
Other
Enumeration date
02/27/2006
Last updated
04/04/2017
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