Individual
MRS. MARY FAIRBAIRN-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 N 15TH ST STE 150, PHOENIX, AZ 85020-4305
(602) 567-5677
Mailing address
7600 N 15TH ST STE 150, PHOENIX, AZ 85020-4305
(602) 567-5677
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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