John M Faggard Iii, MD

NPI #1104024397 in Sandpoint, Idaho

Provider Information

NPI Number
1104024397
Entity Type
Organization
Organization Name
John M Faggard Iii, MD
Primary Specialty
Orthopaedic Surgery
Enumeration Date
Jul 10, 2007
Last Updated
Apr 9, 2012

Practice Location

Address
1005 HIGHWAY 2 W
State
Idaho
ZIP Code
83864-1702
Phone
(208) 265-5916

Authorized Official

Name
JOHN M FAGGARD III, MD
Title
OWNER
Phone
(208) 265-5916

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery

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