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Dr. John Anton Fackenthall, DO
Family Medicine Physician in Walla Walla, Washington
NPI 1568449288

John Anton Fackenthall is a Family Medicine Physician based in Walla Walla, WA. John Anton Fackenthall practices in Walla Walla, WA and has the professional credentials of DO. The NPI Number for John Anton Fackenthall is 1568449288 and holds a License No. OP00000703 (Washington).

The current practice location address for John Anton Fackenthall is 1312 E Isaacs Ave, Walla Walla, WA and can be reached out via phone at 509-252-4100 and via fax at 509-529-7033.

Location: 1312 E Isaacs Ave, Walla Walla, WA, 99362-2152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568449288
Provider Name
John Anton Fackenthall
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1312 E Isaacs Ave, Walla Walla, WA, 99362-2152
Phone Number
509-252-4100
Fax Number
509-529-7033
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G8850948 01 WA MEDICARE GROUP PIN
1252808 05 WA
institution
Provider Business Practice Location Address Details
Address
1312 E Isaacs Ave
City
Walla Walla
State
Washington
Zip
99362-2152
Phone Number
509-252-4100
Fax Number
509-529-7033
person
Provider Business Mailing Address Details
Address
1312 E Isaacs Ave
City
Walla Walla
State
Washington
Zip
99362-2152
Phone Number
509-252-4100
Fax Number
509-529-7033
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
OP00000703 (Washington)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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