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NPI Code Detail

MEDICARE: DR. SAVANNAH JOY FOTHERINGHAM MD

MEDICARE: DR. SAVANNAH JOY FOTHERINGHAM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician25898NV

General Provider Information

NPI Number : 1861072621
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAVANNAH JOY FOTHERINGHAM MD
Provider Business Mailing Address
First Line : 3201 S MARYLAND PKWY STE 608
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2428
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3201 S MARYLAND PKWY STE 608
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2428
Country : US
Telephone Number : 702-457-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2021
Last Update Date : 06/09/2026

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Directions to “ DR. SAVANNAH JOY FOTHERINGHAM MD” Practice Location

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