Individual ProviderHugo FazzFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address7165 E University Dr Ste 141, Mesa, AZ 85207-6411(480) 981-3000PECOS EnrollmentBased on the most recent information from CMS, provider Hugo Fazz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 7:33 AM.Profile DetailsProvider ID1588697031Provider TypeIndividualFull NameFazz, HugoTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/8/2006Last Updated3/28/2024Contact InformationPractice LocationPractice Address7165 E University Dr Ste 141, Mesa, AZ 85207-6411Phone(480) 981-3000Fax(480) 654-5761Mailing LocationMailing Address7165 E University Dr Ste 141, Mesa, AZ 85207-6411Phone(480) 981-3000Fax(480) 654-5761Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense28205ArizonaProvider IdentifiersIDDescriptionIssuerID816671DescriptionMedicaidIssuerUnlistedArizona