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NPI Code Detail

MEDICARE: TODD A FEARER MD

MEDICARE:   TODD A FEARER  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
1207R00000XInternal Medicine PhysicianG54961CA

General Provider Information

NPI Number : 1619960903
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD A FEARER MD
Provider Business Mailing Address
First Line : PO BOX 50706
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93150-0706
Country : US
Telephone Number : 805-963-3757
Fax Number : 805-564-3332
Provider Business Practice Location Address
First Line : 1214 COAST VILLAGE RD
Second Line : SUITE 5
City : SANTA BARBARA
State : CA
Zip : 93108
Country : US
Telephone Number : 805-969-4382
Fax Number : 805-284-9556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 08/14/2018

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Directions to “ TODD A FEARER MD” Practice Location

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