| NPI | 1396058954 |
|---|---|
| Doing Business As | WISSAM FAYAD MD PC |
| Entity Type | Organization |
| Authorized Contact | WISSAM A FAYAD Md/Doctor 928-344-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AZ 35717) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-07-23 |