Individual
PAMELA P FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
403 12TH STREET EXT, PRINCETON, WV 24740-2300
(304) 431-7100
(304) 431-7112
Mailing address
PO BOX 1030, PRINCETON, WV 24740-1030
(304) 431-7100
(304) 431-7112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1040
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203303000
—
WV
Enumeration date
04/19/2006
Last updated
06/16/2016
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