Doctor Name: | COREY RICHARD FAZIO |
NPI Number: | 1285832279 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 34009034 |
Business Practice Address: | 1076 W Mcpherson Hwy Clyde, OH - 434101133 |
Business Phone Number: | 4195470216 |
Business Fax Number: | 4195479130 |
Mailing Address: | 1400 W Main St, Building 1 Suite A BELLEVUE |
State: | OH |
Postal Code: | 448119088 |
Phone Number: | 4194832494 |
Fax Number: | 4194833224 |
NPI Enumeration Date: | 07/11/2007 |
NPI Last Update Date: | 11/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 34009034 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |