DR. John Anton Fackenthall, D.O.
NPI #1568449288 in Walla Walla, Washington
Provider Information
- NPI Number
- 1568449288
- Entity Type
- Individual
- Name
- DR. John Anton Fackenthall, D.O.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- D.O.
- Enumeration Date
- Dec 22, 2005
- Last Updated
- Jan 3, 2013
Practice Location
- Address
- 1312 E ISAACS AVE
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-2152
- Phone
- (509) 252-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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