Evan E. Fusco, MD

NPI #1043323660 in Lebanon, Missouri

Provider Information

NPI Number: 1043323660
Entity Type: Individual
Name: Evan E. Fusco, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Aug 16, 2006
Last Updated: Jun 2, 2015

Practice Location

Address: 100 HOSPITAL DR
City: Lebanon
State: Missouri
ZIP Code: 65536-9210
Phone: (417) 533-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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