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Individual

FREDERICK M FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 BURRO ALY, MORENCI, AZ 85540-9647
(938) 865-9184
(928) 865-9186
Mailing address
PO BOX 218, MORENCI, AZ 85540-0218
(928) 865-9184
(928) 865-9186

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32533
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
843450
AZ
Enumeration date
09/21/2005
Last updated
04/26/2013
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