Madison Fagerlie

NPI #1639922370 in Peoria, Arizona

Provider Information

NPI Number: 1639922370
Entity Type: Individual
Name: Madison Fagerlie
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 11, 2024
Last Updated: Apr 11, 2024

Practice Location

Address: 24998 N 74TH AVE
City: Peoria
State: Arizona
ZIP Code: 85383-6325
Phone: (623) 853-3428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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