Dr. Jerome Paul Fairchild, MD
Dermatology in Pensacola, FL. Individual provider (NPI-1).
NPI number1306850797
StatusActive
Last updated in NPPESMay 30, 2019
Details
- NPI
- 1306850797
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jerome Paul Fairchild
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2006
- Last updated
- May 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | ME63676 | FL | Yes |
Practice location
530 Fontaine StPensacola, FL 32503-2019
Phone 850-474-4775 · Fax 850-484-8223
Mailing address
530 Fontaine StPensacola, FL 32503-2019
Phone 850-474-4775 · Fax 850-484-8223
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