Individual
DR. JESSICA EDEN FAZEKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
677 N WILMOT RD, TUCSON, AZ 85711-2701
(520) 795-2889
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
010710
AZ
2085R0202X
Diagnostic Radiology Physician
240861-01
NY
2085R0202X
Diagnostic Radiology Physician
25MB08623000
NJ
2085R0202X
Diagnostic Radiology Physician
OS16388
FL
Other
Enumeration date
12/13/2006
Last updated
02/18/2026
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