| Ralph W. Fawcett | |
|
6000 Laurel Bowie Rd Suite 209d Bowie MD 20715-4000 | |
| (301) 262-5203 | |
| (301) 262-3909 |
| Full Name | Ralph W. Fawcett |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6000 Laurel Bowie Rd, Bowie, Maryland |
| Authorized Official Name and Position | Ralph Willard Fawcett (PRINCIPAL OWNER) |
| Authorized Official Contact | 3012625203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph W. Fawcett Po Box 157 Ashton MD 20861-0157 Ph: (301) 570-9700 | Ralph W. Fawcett 6000 Laurel Bowie Rd Suite 209d Bowie MD 20715-4000 Ph: (301) 262-5203 |
| NPI Number | 1952358848 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 10/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952358848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D0029737 (Maryland) | Primary |
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