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General NPI Number Information
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NPI Number | 1902832413
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Entity Type | Individual
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Provider Name | NEAL NELSON FAUX MD
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Gender | Male
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 250 E DUNLAP AVE
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City | PHOENIX
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State | AZ
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Zip | 85020-2825
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Country | US
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Telephone | 602-870-6316
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Fax |
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Provider Business Mailing Address
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Address Line | 3916 STATE ST #300
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City | SANTA BARBARA
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State | CA
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Zip | 93105-5602
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Country | US
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Telephone | 800-260-5160
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Fax | 805-564-5087
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 11055
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License Number State | AZ
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