Individual
DR. JOHN PAUL FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(816) 284-1694
Mailing address
5005 N PIEDRAS ST, GRADUATE MEDICAL EDUCATION, EL PASO, TX 79920-5001
(915) 742-2521
(915) 742-2653
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
Q1980
TX
Other
Enumeration date
06/21/2013
Last updated
03/15/2021
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