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Mandy R Fannin, MD
Family Medicine Physician in Ephrata, Pennsylvania
NPI 1972725877

Mandy R Fannin is a Family Medicine Physician based in Ephrata, PA. Mandy R Fannin practices in Ephrata, PA and has the professional credentials of MD. The NPI Number for Mandy R Fannin is 1972725877 and holds a License No. MT188133 (Pennsylvania).

The current practice location address for Mandy R Fannin is 561 W Trout Run Rd, Ephrata, PA and can be reached out via phone at 717-733-9090 and via fax at 717-733-8982.

Location: 561 W Trout Run Rd, Ephrata, PA, 17522-9604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972725877
Provider Name
Mandy R Fannin
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
561 W Trout Run Rd, Ephrata, PA, 17522-9604
Phone Number
717-733-9090
Fax Number
717-733-8982
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
561 W Trout Run Rd
City
Ephrata
State
Pennsylvania
Zip
17522-9604
Phone Number
717-733-9090
Fax Number
717-733-8982
person
Provider Business Mailing Address Details
Address
561 W Trout Run Rd
City
Ephrata
State
Pennsylvania
Zip
17522-9604
Phone Number
717-733-9090
Fax Number
717-733-8982
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD436272 (Pennsylvania)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MT188133 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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