Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID RANDAL FOHAN, M.D., D.M.D.
ActiveDR. DAVID RANDAL FOHAN, M.D., D.M.D. is a Internal Medicine healthcare provider located in FT WAINWRIGHT, Alaska. NPI 1710954854 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · FT WAINWRIGHT, AK
Registration Details
- NPI Number
- 1710954854
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2006 (20.462112841093 yrs)
- Last Updated
- Jul 31, 2017
- Licenses
-
DN009804 (FL)00015943 (AL)034591 (GA)
Practice Information
- Address
-
1060 GAFFNEY RD #7440BASSETT ARMY COMMUNITY HOSPITALFT WAINWRIGHT, AK, 997031474Browse AK providers · Browse ZIP 99703
- Phone
- 9073616028
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.