Melisa Ann Fazio, PA-C, ATC

NPI #1992830822 in Vail, Colorado

Provider Information

NPI Number: 1992830822
Entity Type: Individual
Name: Melisa Ann Fazio, PA-C, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, ATC
Enumeration Date: Feb 22, 2007
Last Updated: Feb 21, 2018

Practice Location

Address: 181 W MEADOW DR STE 400
City: Vail
State: Colorado
ZIP Code: 81657-5058
Phone: (970) 479-5880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physician Assistant	363A00000X	Primary

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