Individual
TARIG GAFAR FADL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1804 W ELLIOT ROAD, TEMPE, AZ 85284
(480) 456-0444
(480) 456-0449
Mailing address
PO BOX 32950, PHOENIX, AZ 85064
(602) 433-1822
(602) 246-7060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30065
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
972928
—
AZ
Enumeration date
07/07/2006
Last updated
07/08/2007
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