DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN ANTON FACKENTHALL

Active Organization

Family Medicine · WALLA WALLA, WA

Registration Details

NPI Number
1659552057
Provider Type
Organization
NPI Issued
Nov 14, 2007 (18.43738039256 yrs)
Last Updated
Jan 3, 2013
License
OP00000703 (WA)

Practice Information

Address
1312 E ISAACS AVE
WALLA WALLA, WA, 993622152
Browse WA providers · Browse ZIP 99362
Phone
5095254100
Fax
5095297033
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.