Individual
WISSAM A. FAYAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1841 W 25TH ST STE A, YUMA, AZ 85364-6932
(928) 344-5565
(928) 344-5655
Mailing address
1841 W 25TH ST STE A, YUMA, AZ 85364-6932
(928) 344-5565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
AZ35717
AZ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35717
AZ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A88593
CA
Other
Enumeration date
06/17/2006
Last updated
02/24/2025
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