Individual
DR. JOHN WILLIAM FAHLBERG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13273 E HISLOP HILL DR, VAIL, AZ 85641-9381
(520) 275-1064
Mailing address
13273 E HISLOP HILL DR, VAIL, AZ 85641-9381
(520) 275-1064
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19351
AZ
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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