Fep Ncch

NPI #1124627815 in Phoenix, Arizona

Provider Information

NPI Number: 1124627815
Entity Type: Organization
Organization Name: Fep Ncch
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 22, 2020
Last Updated: Oct 22, 2020

Practice Location

Address: 8825 N 23RD AVE STE 100
City: Phoenix
State: Arizona
ZIP Code: 85021-4148
Phone: (847) 571-2467

Authorized Official

Name: MARTIN FEDKNO, MD
Title: PRESIDENT
Phone: (847) 571-2467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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