Individual
WILLIAM J. FAHRENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6012 CARL ST, FARMINGTON, NM 87402-5266
(801) 647-6101
Mailing address
2300 E 30TH ST BLDG D, FARMINGTON, NM 87401-8990
(801) 647-6101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2020-0096
NM
Other
Enumeration date
07/16/2019
Last updated
12/10/2024
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