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Individual

DR. PAMELA KAY FADNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
713 E MARION AVE STE 139, PUNTA GORDA, FL 33950-3863
(941) 833-1750
(941) 766-1511
Mailing address
PO BOX 547, ATT: CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 225-1266
(802) 479-3548

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
042-0011367
VT
2084P0800X
Psychiatry Physician
Primary
ME134922
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013985
VT
Enumeration date
03/05/2007
Last updated
09/09/2020
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