# FAUSTER CAMERON INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Defiance Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649253964
- **Authorized official:** MR. CHAD L. PETER (CEO)
- **Authorized official phone:** (419) 784-1414

## Contact information

- **Practice address:** 1400 E 2ND ST, DEFIANCE, OH 43512-2440
- **Practice address phone:** (419) 784-1414
- **Mailing address:** 1400 E 2ND ST, DEFIANCE, OH 43512-2440
- **Mailing address phone:** (419) 784-1414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 10/17/2011