Robert Fabian

Individual provider Active NPI Case Manager/Care Coordinator · Phoenix, AZ

NPI 1962826396 · NPPES record last updated Feb 5, 2014

Key facts

NPI
1962826396
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
202 E Earll Dr Ste 200
Phoenix, AZ 85012-2647
Phone
(602) 599-5404
Fax
(602) 599-5704
NPI assigned
Feb 5, 2014
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

202 E Earll Dr Ste 200
Phoenix, AZ 85012-2647

Mailing address

202 E Earll Dr Ste 200
Phoenix, AZ 85012-2647
Phone (602) 599-5404

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Case Manager/Care Coordinator in Arizona

Sources for this page

Verify at the official NPI Registry.