Individual provider · Type 1 NPI

Marcus A. Fannie, PA C

Surgical Physician Assistant · Pittsburgh, PA

NPI number 1649207754 Active

Practice location

5820 Centre Ave
Pittsburgh, PA 15206-3710

Fax (412) 661-4760

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XMA002212L (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1649207754

Marcus A. Fannie, PA C's National Provider Identifier is 1649207754, issued on Jun 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pittsburgh, PA. The record was last updated on Sep 30, 2008.