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Individual

JUSTIN FAMOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1281 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2949
(520) 836-9800
(520) 836-1510
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(813) 321-1296

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
51553
AZ

Other

Enumeration date
04/29/2014
Last updated
03/09/2026
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