DR. James Robert Fackelman, MD

NPI #1417939331 in Renton, Washington

Provider Information

NPI Number: 1417939331
Entity Type: Individual
Name: DR. James Robert Fackelman, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Nov 16, 2005
Last Updated: Sep 25, 2012

Practice Location

Address: 10555 SE CARR RD
City: Renton
State: Washington
ZIP Code: 98055-5820
Phone: (425) 656-4270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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