Fazio, Michael Gregory

Fazio, Michael Gregory is an sole proprietor health care provider with primary practice located at 5950 University Ave Ste 145 , West Des Moines IA 50266-8233. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Fazio, Michael Gregory can be contacted via phone (515) 244-5109.

Contact Information

Primary practice address
5950 University Ave Ste 145 West Des Moines IA 50266-8233
Phone: (515) 244-5109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 64809 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2020012800 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DO-04872 Iowa

Profile Details

NPI number 1811123433
LBN Legal business name Fazio, Michael Gregory
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2009
Last updated Jan 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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