Individual
DR. MICHAEL J FAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2302 COLLEGE AVE, CONWAY, AR 72034-6297
(501) 513-5793
(501) 513-5417
Mailing address
2302 COLLEGE AVE, CONWAY, AR 72034-6297
(501) 513-5793
(501) 513-5417
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E1387
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133497001
—
AR
Enumeration date
10/03/2005
Last updated
07/29/2010
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