Individual
DR. NATHAN FACKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(513) 313-7465
Mailing address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
PTL-9282
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/12/2020
Last updated
03/06/2023
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