Individual
FAWAD RAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3633 CROSSINGS DR, PRESCOTT, AZ 86305-7101
(928) 778-0330
Mailing address
2601 E ROOSEVELT ST, MARICOPA INTEGRATED HEALTH SYSTEM, PHOENIX, AZ 85008-4973
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55810
AZ
Other
Enumeration date
04/20/2015
Last updated
11/16/2018
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