Individual
EMILY CAROLINE FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6678 W THUNDERBIRD RD, GLENDALE, AZ 85306-3721
(026) 978-1500
(602) 978-0409
Mailing address
6678 W THUNDERBIRD RD, GLENDALE, AZ 85306-3721
(026) 978-1500
(602) 978-0409
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
65939
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164270
—
AZ
Enumeration date
05/11/2018
Last updated
08/29/2022
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