Organization
JOHN M FAGGARD III, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M FAGGARD III MD (OWNER)
(208) 265-5916
Entity
Organization
Contact information
Practice address
1005 HIGHWAY 2 W, SANDPOINT, ID 83864-1702
(208) 265-5916
(208) 255-2066
Mailing address
1005 HIGHWAY 2 W, SANDPOINT, ID 83864-1702
(208) 265-5916
(208) 255-2066
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M6916
ID
Other
Enumeration date
07/10/2007
Last updated
04/09/2012
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