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Mr. Troy G Fajerson, PA-C
Medical Physician Assistant in Woodland, California
NPI 1962420869

Troy G Fajerson is a Medical Physician Assistant based in Woodland, CA and is specialized in Medical. Troy G Fajerson practices in Woodland, CA and has the professional credentials of PA-C. The NPI Number for Troy G Fajerson is 1962420869 and holds a License No. PA12188 (California).

The current practice location address for Troy G Fajerson is 632 W Gibson Rd, Woodland, CA and can be reached out via phone at 530-666-1631.

Location: 632 W Gibson Rd, Woodland, CA, 95695
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962420869
Provider Name
Troy G Fajerson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
632 W Gibson Rd, Woodland, CA, 95695
Phone Number
530-666-1631
Fax Number
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA12188 01 CA MEDI-CAL
P00061967 01 CA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
632 W Gibson Rd
City
Woodland
State
California
Zip
95695
Phone Number
530-666-1631
Fax Number
person
Provider Business Mailing Address Details
Address
632 W Gibson Rd
City
Woodland
State
California
Zip
95695
Phone Number
530-666-1631
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA12188 (California)
Definition
Definition to come...
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