Individual provider · Type 1 NPI

Douglas Floyd Fackler, PA-C

Medical Physician Assistant · Evansville, IN

NPI number 1053402826 Active

Practice location

Evansville Va Outpatient Clinic, 500 E. Walnut
Evansville, IN 47713

Call (812) 465-6202 Map

Fax (812) 465-6201

Mailing address

143 Pennyrile Dr
Madisonville, KY 42431-9219

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00512 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1053402826

Douglas Floyd Fackler, PA-C's National Provider Identifier is 1053402826, issued on Sep 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Evansville, IN. The record was last updated on Jul 8, 2007.