Individual
JASON R FAULHABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW, SUITE 301, ROANOKE, VA 24014-2462
(540) 981-7715
(540) 981-7965
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5353
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101252957
VA
207RI0200X
Infectious Disease Physician
235768
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265574446
—
VA
Enumeration date
02/13/2007
Last updated
09/11/2024
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