Individual
MR. JUSTIN JOSEPH FAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2805 J STREET, SUITE 100, SACRAMENTO, CA 95816
(916) 492-1828
(916) 492-1834
Mailing address
2805 J STREET, SUITE 100, SACRAMENTO, CA 95816
(916) 492-1828
(916) 492-1834
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A174428
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2017
Last updated
09/27/2023
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