Organization
FERMO & TAN FERMO L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY T BAKER (OFFICE MANAGER)
(602) 380-9644
Entity
Organization
Contact information
Practice address
2545 W QUAIL AVE, PHOENIX, AZ 85027-2418
(480) 235-5579
(602) 368-1140
Mailing address
PO BOX 5655, GLENDALE, AZ 85312-5655
(480) 235-5579
(602) 368-1140
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28317
AZ
Other
Enumeration date
08/16/2007
Last updated
12/30/2018
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