Individual
ROBERT OLIVER FAZEKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2120 S MCCLINTOCK DR STE 105, TEMPE, AZ 85282-2692
(480) 804-0326
Mailing address
1400 E SOUTHERN AVE STE 735, TEMPE, AZ 85282-5699
(480) 804-0326
(480) 887-9701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-18056
AZ
Other
Enumeration date
10/23/2019
Last updated
10/24/2019
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