Individual
C BYRON FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 E KINGSLEY ST, SPRINGFIELD, MO 65804-7216
(417) 887-1965
(417) 887-6499
Mailing address
1330 E KINGSLEY ST, SPRINGFIELD, MO 65804-7216
(417) 887-1965
(417) 887-6499
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
104165
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206699209
—
MO
Enumeration date
07/22/2005
Last updated
10/23/2023
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