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Douglas Fackler, PA-C
NPI 1053402826 · on the registry since 2006
Practice
- Address
- Evansville Va Outpatient Clinic
500 E. Walnut
Evansville, IN 47713 - Phone
- (812) 465-6202
- Fax
- (812) 465-6201
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Indiana