Organization
ROBERT J FAUER M.D. P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JAY FAUER M.D. (PRESIDENT)
(602) 923-6666
Entity
Organization
Contact information
Practice address
4045 E BELL RD, SUITE 105, PHOENIX, AZ 85032-2236
(602) 923-6666
(602) 923-7676
Mailing address
4045 E BELL RD, SUITE 105, PHOENIX, AZ 85032-2236
(602) 923-6666
(602) 923-7676
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AZ14204
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0184030
BLUE CROSS BLUE SHIELD OF AZ
AZ
01
—
ZMD14204
MEDICARE PROVIDER
AZ
Enumeration date
11/23/2009
Last updated
11/23/2009
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