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Paul F Fader

  • Male

Medical Specialty

Professional ID

  • NPI: 1942205620
  • PECOS ID: 1951329028
  • Enrollment ID: I20100319000206
  • Credential(MD, DO, DPM): MD
  • Medical School: Michigan State University College Of Human Medicine
  • Medical School Graduation Year: 1986

Hospital Service

  • Hospital CCN1: 030073
  • Business Name (LBN)1: Tuba City Regional Health Care Corporation
  • Hospital CCN2: 030023
  • Business Name (LBN)2: Flagstaff Medical Center

Medical Practices

  • Organization Name: Tuba City Regional Health Care Corporation
  • Group Practice ID assigned by PECOS: 4284542531
  • Number of Group Practice member: 127

Location

  • Address1: 167 Main St
  • Address2: Tcrhcc Mobile Medical Clinic
  • City: Tuba City
  • State: Arizona
  • Zip Code: 86045
  • Phone Number: (928)283-2501

Location

  • Address1: 167 N Main St
  • Address2: Tuba City Indian Medical Center
  • City: Tuba City
  • State: Arizona
  • Zip Code: 86045
  • Phone Number: (928)283-2094

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):