Individual
DR. JAMES WILLIAM FAULKNER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 890-2000
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 807-1241
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01078904A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000010099158
BC/BS PROVIDER # INDIANA
IN
01
—
1615843
BC/BS PROVIDER #
—
05
—
300005511
—
IN
Enumeration date
02/01/2006
Last updated
12/20/2018
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