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Dr. Michael Gregory Fazio, DO
Diagnostic Radiology Physician in West Des Moines, Iowa
NPI 1811123433

Michael Gregory Fazio is a Diagnostic Radiology Physician based in West Des Moines, IA and is specialized in Diagnostic Radiology. Michael Gregory Fazio practices in West Des Moines, IA and has the professional credentials of DO. The NPI Number for Michael Gregory Fazio is 1811123433 and holds a License No. 64809 (Iowa).

The current practice location address for Michael Gregory Fazio is 5950 University Ave Ste 145, West Des Moines, IA and can be reached out via phone at 515-244-5109. You can also correspond with Michael Gregory Fazio through the mailing address at 7147 VISTA DR STE 150, WEST DES MOINES, IA - 50266-9317 (mailing address contact number: 515-875-9255).

Location: 5950 University Ave Ste 145, West Des Moines, IA, 50266-9317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811123433
Provider Name
Michael Gregory Fazio
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
5950 University Ave Ste 145, West Des Moines, IA, 50266-9317
Phone Number
515-244-5109
Fax Number
Provider Enumeration Date
06/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5950 University Ave Ste 145
City
West Des Moines
State
Iowa
Zip
50266-8233
Phone Number
515-244-5109
Fax Number
person
Provider Business Mailing Address Details
Address
7147 Vista Dr Ste 150
City
West Des Moines
State
Iowa
Zip
50266-9317
Phone Number
515-875-9255
Fax Number
515-875-9223
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
64809 (Georgia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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