Individual provider · Type 1 NPI

Madison Fagerlie

Emergency Medicine Physician · Peoria, AZ

NPI number 1639922370 Active

Practice location

24998 N 74th Ave
Peoria, AZ 85383-6325

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Emergency Medicine Physician Primary	207P00000X	012634 (AZ)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1639922370

Madison Fagerlie's National Provider Identifier is 1639922370, issued on Apr 11, 2024. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Peoria, AZ. The record was last updated on Sep 9, 2026.