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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FRED FOMBRUN, PA-C

Active

FRED FOMBRUN, PA-C is a Medical Physician Assistant healthcare provider located in HENDERSON, Nevada. NPI 1730590829 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · HENDERSON, NV

Registration Details

NPI Number
1730590829
Provider Type
Individual
Gender
Male
NPI Issued
May 12, 2014 (12.273692571604 yrs)
Last Updated
May 12, 2014
License
PA1527 (NV)

Practice Information

Address
2380 W HORIZON RIDGE PKWY STE 110
HENDERSON, NV, 890525078
Browse NV providers · Browse ZIP 89052
Phone
9726560493
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in HENDERSON, NV

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MICHAEL PRESTON SCOTT PA-C 1255322442
WARREN GUINN PA 1104896281
DOUGLAS TRENT YOUNG PAC 1003889577
JESSICA L GDOVIN PA-C 1528078912
DAWN ANNE EPTER RPA-C 1356449318
MR. ROBERT A SHAPIRO PA-C 1003917063
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.