Individual
DAVID FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2625 PARADE ST, ERIE, PA 16504-2809
(814) 452-6383
(814) 452-1427
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS004474L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007045720001
—
PA
Enumeration date
02/01/2006
Last updated
01/04/2017
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