Organization
LOREN L. FAABORG, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN FAABORG M.D. (PRESIDENT)
(623) 974-3647
Entity
Organization
Contact information
Practice address
10503 W THUNDERBIRD BLVD, SUITE 301, SUN CITY, AZ 85351-3022
(623) 974-3647
(623) 977-0310
Mailing address
10503 W THUNDERBIRD BLVD, SUITE 301, SUN CITY, AZ 85351-3022
(623) 974-3647
(623) 977-0310
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33356
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
974289
—
AZ
Enumeration date
12/11/2006
Last updated
10/26/2007
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