Individual
KEVIN FUCIARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23823 N 113TH PL, SCOTTSDALE, AZ 85255-5637
(480) 513-7047
Mailing address
23823 N 113TH PL, SCOTTSDALE, AZ 85255-5637
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29740
AZ
Other
Enumeration date
01/09/2008
Last updated
10/18/2016
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