| 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: Not Enrolled in Medicare 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: Medicare Enrolled Practice Location: Corner Of Route 12 And 7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Derek Andrew Ray, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, 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 |