Provider Demographics
NPI:1114988672
Name:FAUER, ROBERT J (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:FAUER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9590 E IRONWOOD SQUARE DR
Mailing Address - Street 2:STE 125
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4583
Mailing Address - Country:US
Mailing Address - Phone:480-455-3000
Mailing Address - Fax:866-819-6115
Practice Address - Street 1:16620 N 40TH ST
Practice Address - Street 2:SUITE C1
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-3348
Practice Address - Country:US
Practice Address - Phone:602-923-6666
Practice Address - Fax:602-923-7676
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2016-05-30
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Provider Licenses
StateLicense IDTaxonomies
AZAZ14204207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ78816OtherFIRST HEALTH
AZ1Z2950OtherHEALTHNET
AZAZ0184030OtherBCBS OF AZ
AZ188927300OtherUS DEPT OF LABOR
AZ4021980OtherAETNA
AZ313342OtherONE HEALTH
AZ4021980OtherAETNA
AZ78816OtherFIRST HEALTH