Evan E. Fusco MD

NPI 1043323660 - Emergency Medicine - 207P00000X

NPI Details
NPI 1043323660
Gender Male
Enumeration Date 08/16/2006
Last Updated 06/02/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
LEBANON MO, 65536-9210, US
Phone (417) 533-6100
Fax (417) 533-6021
Business Location
PO BOX 504274
SAINT LOUIS MO, 63150-4274, US
Phone (417) 829-4620
Fax (417) 829-4316
Taxonomy Code 207P00000X
License State Missouri
License Number 2000160755
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According to our database, Evan E. Fusco MD NPI is 1043323660, taxonomy code is 207P00000X and license number is 2000160755, license state is located at Missouri. Evan E. Fusco MD physically located at 100 Hospital Dr, Lebanon MO, 65536-9210. NPI Number Evan E. Fusco MD has the Individual type.

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1043323660 NPI number is provided on an as is basis without warranty of any kind. 1043323660 is maintained by the National Plan & Provider Enumeration System. The contents of Evan E. Fusco MD are for informational purposes only.