Individual
MR. MARK ROBERT FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
8631 W UNION HILLS DR, SUITE #206, PEORIA, AZ 85382-7002
(623) 875-7900
(623) 875-7919
Mailing address
22813 N 105TH DR, PEORIA, AZ 85383-5707
(623) 492-0214
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3571
AZ
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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