Organization
KEVIN A FUCIARELLI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN A FUCIARELLI MD (PRESIDENT)
(480) 513-7047
Entity
Organization
Contact information
Practice address
10615 N HAYDEN RD, SUITE C 100-102, SCOTTSDALE, AZ 85260-5734
(480) 513-7047
Mailing address
23823 N 113TH PL, SCOTTSDALE, AZ 85255-5637
(480) 513-7047
(480) 948-1727
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
29740
AZ
Other
Enumeration date
12/16/2006
Last updated
10/21/2016
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