Search › Idaho › 174400000X
John Faggard, M.D
NPI 1194939421 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1005 Highway 2
Sandpoint, ID 83864 - Phone
- (208) 265-5916
- Fax
- (208) 255-2066
- Organisation at this address
- Lakeside Aesthetics - Llc
Erickson Pt Enterprises PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-05-14
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 Idaho