NPI 1144094798

Jeffrey Fairer

Practitioner Driver Surprise, AZ

Practice location

Address: 13388 N 174th Ln, Surprise, AZ 85388-3190
Phone: (765) 617-5948

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1144094798
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2023
Record last updated: 14 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.