Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN ANTON FACKENTHALL, D.O.
Active Sole ProprietorDR. JOHN ANTON FACKENTHALL, D.O. is a Family Medicine healthcare provider located in WALLA WALLA, Washington. NPI 1568449288 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WALLA WALLA, WA
Registration Details
- NPI Number
- 1568449288
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 22, 2005 (20.646523772668 yrs)
- Last Updated
- Jan 3, 2013
- License
-
OP00000703 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1312 E ISAACS AVEWALLA WALLA, WA, 993622152Browse WA providers · Browse ZIP 99362
- Phone
- 5092524100
- Fax
- 5095297033
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WALLA WALLA, WA
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT G. MORASCH | M.D. | 1669478137 |
| DR. JOHN ERIC MOORE | D.O. | 1063412070 |
| SAMUEL KIRTLEY | MD | 1124016548 |
| CLOISE BARTON MOORE | MD | 1639154594 |
| ALBERT M RANDOLPH | MD | 1548245400 |
| JOHN BYRON HOEHN | MD | 1801871512 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.