Mr Mike Danny Faz, PHYSICAL THERAPIST | |
Corner Of Route N12 And N7, Fort Defiance Phs Hospital, Fort Defiance, AZ 86504 | |
(928) 729-8805 | |
(928) 729-8814 |
Full Name | Mr Mike Danny Faz |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750466249 | NPI | - | NPPES |
000T5129 | Medicaid | NM | |
779803 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4295021 (Arizona) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Mike Danny Faz, PHYSICAL THERAPIST 402 Zorena Ave, Gallup, NM 87301-5688 Ph: (928) 729-8805 | Mr Mike Danny Faz, PHYSICAL THERAPIST Corner Of Route N12 And N7, Fort Defiance Phs Hospital, Fort Defiance, AZ 86504 Ph: (928) 729-8805 |
Sarah Maria Berkenstock, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N7, Corner Of Routes N12, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Robbie Whitehair, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance Indian Hospital Board, Inc., Fort Defiance, AZ 86504 Phone: 928-729-8810 | |
Dr. Jonathan Thomas Keown, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Miss Deidrea Rose Salabye, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 Fax: 928-729-8814 | |
Ms. Alana Marie Bencivengo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route 12 And 7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Mrs. Kathryn Elizabeth Jacques, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8132 | |
Dr. Craig Amidon Fox, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8810 |