Individual
DR. ALFREDO JOSE FABREGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 N 12TH ST STE 409, PHOENIX, AZ 85006-2848
(602) 253-2262
(602) 253-7191
Mailing address
1300 N 12TH ST STE 409, PHOENIX, AZ 85006-2848
(602) 253-2262
(602) 253-7191
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25884
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402834
—
AZ
Enumeration date
12/10/2007
Last updated
07/10/2009
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