person
Ian Lester Fawks, DO
Family Medicine Physician in Springfield, Missouri
NPI 1386640910

Ian Lester Fawks is a Family Medicine Physician based in Springfield, MO. Ian Lester Fawks practices in Springfield, MO and has the professional credentials of DO. The NPI Number for Ian Lester Fawks is 1386640910 and holds a License No. 115964 (Missouri).

The current practice location address for Ian Lester Fawks is 3801 S National Ave, Springfield, MO and can be reached out via phone at 417-269-7728 and via fax at 417-269-7729.

Location: 3801 S National Ave, Springfield, MO, 65808-4046
person
Provider Profile Details
NPI Number
1386640910
Provider Name
Ian Lester Fawks
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3801 S National Ave, Springfield, MO, 65808-4046
Phone Number
417-269-7728
Fax Number
417-269-7729
Provider Enumeration Date
06/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
129355 01 BLUE CROSS
244976403 05 MO
institution
Provider Business Practice Location Address Details
Address
3801 S National Ave
City
State
Zip
65807-5210
Phone Number
417-269-7728
Fax Number
417-269-7729
person
Provider Business Mailing Address Details
Address
3801 S National Ave
City
State
Zip
65807-5210
Phone Number
417-269-7728
Fax Number
417-269-7729
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
115964 (Missouri)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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