Individual
ANDREA FA
Active
Individual
ANDREA FA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
E-20990
AR
208C00000X
Colon & Rectal Surgery Physician
Primary
E-20990
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
08/18/2026
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