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Individual

DAVID LAWRENCE FAHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O..

Contact information

Practice address
1600 1ST ST E, INDEPENDENCE, IA 50644-3155
(319) 332-0999
Mailing address
1600 1ST ST E, INDEPENDENCE, IA 50644-3155
(319) 332-0999

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-10379
IA

Other

Enumeration date
06/14/2015
Last updated
01/07/2021
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