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Contact Information

ELISA M FAYBUSH, MD
3048 E BASELINE RD
SUITE 105
MESA, AZ85204-7286
 Phone: 480-545-6060
 Fax: 480-632-0467
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for ELISA M FAYBUSH · (Female)

NPI Number 1538264684
Status Active
Credentials MD
Entity Individual
Enumeration date 09/13/2006
Last updated 02/16/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 33833
  • AZ Other 33833 STATE LICENSE NUMBER
Hospital affiliation(s)
  • BANNER DESERT MEDICAL CENTER - (Acute Care)
    1400 SOUTH DOBSON ROAD
    MESA, AZ 85202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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