Individual
COLLEEN MARIE FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 728-3000
Mailing address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 789-0845
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8754
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2019
Last updated
01/21/2022
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