Doctor Name: | DR. DANIEL REY FABER |
NPI Number: | 1023049418 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 1802048905 |
Business Practice Address: | 280 River Park Dr #200 Provo, UT - 846045764 |
Business Phone Number: | 8012234860 |
Business Fax Number: | 8013718993 |
Mailing Address: | 280 River Park Dr, #200 PROVO |
State: | UT |
Postal Code: | 846045764 |
Phone Number: | 8012234860 |
Fax Number: | 8013718993 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 03/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207LA0401X |
License Number: | 1802048905 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Anesthesiology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | An anesthesiologist who specializes in the diagnosis and treatment of addictions. |