Russell Fornator is a Specialist in Phoenix, Arizona. Russell Fornator practices all healthcare services and medical treatments related to Specialist. The NPI Number for Russell Fornator is 1033247481. The last update date is 2007-07-08.
Russell Fornator's current location address is 10930 N Tatum Blvd, Phoenix, Arizona. You can contact this provider via phone number 6022637600 and fax number 6022120365. The mailing address for Russell Fornator is 10930 N Tatum Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Fornator |
|---|---|
| Address | 10930 N Tatum Blvd, Phoenix, Arizona |
| Phone Number | 6022637600 |
| Fax Number | 6022120365 |
| Sole Proprietor | Y |
| Credentials | CCP |
NPI Number Detail
| NPI Number | 1033247481 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10930 N Tatum Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850286069 |
| Phone Number | 6022637600 |
| Fax Number | 6022120365 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the Russell Fornator's unique identification number?
The Russell Fornator has been assigned the NPI (National Provider Identifier) Number 1033247481 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Russell Fornator?
The Russell Fornator is situated at 10930 N Tatum Blvd, in the city of Phoenix, state of AZ, with the zip code 850286069.
What is Russell Fornator's specialized field of practice, and what is the corresponding taxonomy classification code?
The Russell Fornator's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did the Russell Fornator receive its 1033247481?
The Russell Fornator was issued its 1033247481 on 2007-02-28, which is the date when the organization was assigned this unique identifier.
As of what date were the Russell Fornator's details last updated?
The information pertaining to the Russell Fornator, including its address, specialty, and other details, was most recently updated on 2007-07-08.