| Dennis L. Fast Md Inc | |
|
350 Jh Walker Dr Suite 110 Pendleton IN 46064-8750 | |
| (765) 622-0003 | |
| (765) 778-7535 |
| Full Name | Dennis L. Fast Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 350 Jh Walker Dr, Pendleton, Indiana |
| Authorized Official Name and Position | Dennis Lee Fast (PRESIDENT) |
| Authorized Official Contact | 7656220003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis L. Fast Md Inc 350 Jh Walker Dr Suite 110 Pendleton IN 46064-8750 Ph: (765) 622-0003 | Dennis L. Fast Md Inc 350 Jh Walker Dr Suite 110 Pendleton IN 46064-8750 Ph: (765) 622-0003 |
| NPI Number | 1629335716 |
|---|---|
| Provider Enumeration Date | 04/13/2012 |
| Last Update Date | 04/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629335716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01028579A (Indiana) | Primary |
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