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Brent Fairchild, PA-C

NPI 1174090393 · on the registry since 2018 · sole proprietor

Practice

Address
1081 Bright Stream Way
Webster, NY 14580
Phone
(585) 410-0678

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York