| NPI | 1487112207 |
|---|---|
| Doing Business As | FASTMED HEALTH, NC, PLLC |
| Entity Type | Organization |
| Authorized Contact | SHELLEY JANE STAYMATES National Credentialing Manager 480-500-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |