JAIME ANDRES DAZA FAWCETT

HUNTSVILLE, AL
NPI1750538856
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: AL  31090)
Enumeration Date2008-08-20
Last Update Date2018-12-12
Business Address
JAIME ANDRES DAZA FAWCETT MD
101 SIVLEY RD SW
HUNTSVILLE, AL 35801-4421
Phone number: 256-265-3880
Mailing Address
JAIME ANDRES DAZA FAWCETT MD
PO BOX 2705
HUNTSVILLE, AL 35804-2705
Phone number: 256-265-3880