Individual
DEREK FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25250 N 35TH AVE, PHOENIX, AZ 85083-4335
(623) 986-8713
Mailing address
3359 W VIA DEL SOL DR, PHOENIX, AZ 85027-1671
(623) 986-8713
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
10/06/2025
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