Individual
DAVID C FAZEKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2703 MIRROR LAKE DR, FAYETTEVILLE, NC 28303-5213
(610) 282-5678
Mailing address
2703 MIRROR LAKE DR, FAYETTEVILLE, NC 28303-5213
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN506354L
PA
Other
Enumeration date
11/08/2007
Last updated
04/22/2022
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