Individual
DR. PETER FANTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
221 W 8TH ST, LORAIN, OH 44052-1817
(440) 245-4480
Mailing address
221 W 8TH ST, LORAIN, OH 44052-1817
(440) 245-4480
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34002559
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
530456
—
OH
Enumeration date
08/16/2005
Last updated
07/08/2007
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