Russell Fornator, CCP
NPI #1033247481 in Phoenix, Arizona
Provider Information
- NPI Number
- 1033247481
- Entity Type
- Individual
- Name
- Russell Fornator, CCP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- CCP
- Enumeration Date
- Feb 28, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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