Individual
DR. DENNIS LEE FAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 JH WALKER DR, SUITE 110, PENDLETON, IN 46064-8750
(765) 778-7534
(765) 778-7535
Mailing address
350 J. H. WALKER DRIVE, SUITE 110, PENDLETON, IN 46064
(765) 778-7534
(765) 778-7535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01028579
IN
Other
Enumeration date
05/08/2006
Last updated
06/25/2012
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