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John Anton Fackenthall
Family Medicine Physician in Walla Walla, Washington
NPI 1659552057

John Anton Fackenthall is a Family Medicine Physician based in Walla Walla, WA. John Anton Fackenthall practices in Walla Walla, WA. The NPI Number for John Anton Fackenthall is 1659552057 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 509-525-4100 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
institution
Provider Profile Details
NPI Number
1659552057
Provider Name
John Anton Fackenthall
Credential
Provider Entity Type
Organization
Address
1312 E Isaacs Ave, Walla Walla, WA, 99362-2152
Phone Number
509-525-4100
Fax Number
509-529-7033
Provider Enumeration Date
11/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
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
509-525-4100
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
509-525-4100
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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