Individual
RONALD ANTHONY FAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 231-6333
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1000406
NC
363AS0400X
Surgical Physician Assistant
Primary
1000406
NC
Other
Enumeration date
10/23/2009
Last updated
02/23/2021
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