Search › Arizona › 1223G0001X
Mario Fragoso, DDS
NPI 1770584369 · on the registry since 2005
Practice
- Address
- 1100 F Ave
Douglas, AZ 85607 - Phone
- (520) 364-1429
- Fax
- (520) 364-4261
- Organisation at this address
- Chiricahua Community Health Centers, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-06-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona