Organization
BURT FAIBISOFF, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BURT I. FAIBISOFF MD (MEMBER)
(928) 680-7707
Entity
Organization
Contact information
Practice address
2035 MESQUITE AVE, SUITE A, LAKE HAVASU CITY, AZ 86403-5894
(928) 680-7707
(928) 680-7773
Mailing address
2035 MESQUITE AVE, SUITE A, LAKE HAVASU CITY, AZ 86403-5894
(928) 680-7707
(928) 680-7773
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
13213
AZ
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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