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John Fackenthall, D.O
NPI 1568449288 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1312 E Isaacs Ave
Walla Walla, WA 99362 - Phone
- (509) 252-4100
- Fax
- (509) 529-7033
- Organisation at this address
- Dns Group Llc
John Anton FackenthallInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-03
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 Washington