Organization
WISSAM FAYAD MD PC
Active
Other names
Wissam Fayad MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
WISSAM A FAYAD M.D. (MD/DOCTOR)
(928) 344-5565
Entity
Organization
Contact information
Practice address
1841 W 25TH ST, SUITE A, YUMA, AZ 85364-6920
(928) 344-5565
(928) 344-5655
Mailing address
1841 W 25TH ST, SUITE A, YUMA, AZ 85364-6920
(928) 344-5565
(928) 344-5655
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
35717
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127146-003
—
AZ
Enumeration date
07/23/2010
Last updated
07/23/2010
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