Individual provider · Type 1 NPI

Ronald Anthony Fazio, PA

Surgical Physician Assistant · Raleigh, NC

NPI number 1962738146 Active

Practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Call (919) 231-6333 Map

Mailing address

2920 Highwoods Blvd
Raleigh, NC 27604-0010

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1000406 (NC)
Physician Assistant 363A00000X1000406 (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1962738146

Ronald Anthony Fazio, PA's National Provider Identifier is 1962738146, issued on Oct 23, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Raleigh, NC. The record was last updated on Feb 23, 2021.