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Individual

DR. ROBERT JOHN FANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AUDIOLOGIST

Contact information

Practice address
1919 E THOMAS RD, BLDG C, ROOM 2240, PHOENIX, AZ 85016-7710
(602) 546-4689
(602) 546-4683
Mailing address
1919 E THOMAS RD, BLDG C, ROOM 2240, PHOENIX, AZ 85016-7710
(602) 546-4689

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA5560
AZ

Other

Enumeration date
03/27/2008
Last updated
03/27/2008
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