JOHN ANTON FACKENTHALL

WALLA WALLA, WA
NPI1568449288
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  OP00000703)
Enumeration Date2005-12-22
Last Update Date2013-01-03
Business Address
Dr. JOHN ANTON FACKENTHALL D.O.
1312 E ISAACS AVE
WALLA WALLA, WA 99362-2152
Phone number: 509-252-4100
Mailing Address
Dr. JOHN ANTON FACKENTHALL D.O.
1312 E ISAACS AVE
WALLA WALLA, WA 99362-2152
Phone number: 509-525-4100
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