Individual
DR. JAMES WILLIAM FAULKNER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8326 NAAB RD, INDIANAPOLIS, IN 46260-1920
(317) 871-0000
(317) 871-0010
Mailing address
8326 NAAB RD, INDIANAPOLIS, IN 46260-1920
(317) 871-0000
(317) 871-0010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01075451A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201094470
—
IN
Enumeration date
03/20/2012
Last updated
09/09/2021
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