MIKE DANNY FAZ

FORT DEFIANCE, AZ
NPI1750466249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  4295021)
Enumeration Date2006-10-25
Last Update Date2007-07-08
Business Address
Mr. MIKE DANNY FAZ Physical Therapist
CORNER OF ROUTE N12 AND N7 FORT DEFIANCE PHS HOSPITAL
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8805
Mailing Address
Mr. MIKE DANNY FAZ Physical Therapist
402 ZORENA AVE
GALLUP, NM 87301-5688
Phone number: 928-729-8805
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