Individual
MR. DANIEL FAIRBANKS CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-6305
Mailing address
201 S 25TH ST APT 415, PHILADELPHIA, PA 19103-6006
(908) 967-7409
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD490710
PA
Other
Enumeration date
03/24/2023
Last updated
08/06/2025
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