Individual
KEIKO SATO FAKHRAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2501 N STOCKTON HILL RD STE 108, KINGMAN, AZ 86401-4140
(928) 255-5050
(888) 571-5897
Mailing address
12361 W BOLA DR STE 109, SURPRISE, AZ 85378-9021
(623) 227-1000
(623) 227-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
005309
AZ
Other
Enumeration date
06/26/2007
Last updated
01/03/2025
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