Mr. DOUGLAS FLOYD FACKLER -- PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1053402826- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- EVANSVILLE VA OUTPATIENT CLINIC 500 E. WALNUT, EVANSVILLE, IN, 47713
- Phone
- (812) 465-6202
- Fax
- (812) 465-6201
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: TX #PA00512
All Addresses
MAILING
143 PENNYRILE DR
MADISONVILLE, KY, 424319219