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Individual

MICHAEL RYON FUQUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNIM

Contact information

Practice address
214 CENTERVIEW DR STE 100, BRENTWOOD, TN 37027-5274
(615) 345-5400
Mailing address
9655 W 56TH PL, ARVADA, CO 80002-2109
(720) 236-5017

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary

Other

Enumeration date
03/23/2017
Last updated
03/23/2017
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