Individual
MR. CHRIS DAVID FAGERLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27410 N 66TH LN, PHOENIX, AZ 85083-7526
(602) 628-6482
Mailing address
27410 N 66TH LN, PHOENIX, AZ 85083-7526
(602) 628-6482
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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