Individual
JOHN FANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 668-5784
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 668-5784
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101278281
VA
Other
Enumeration date
10/12/2006
Last updated
09/26/2024
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