Individual
DR. BRUCE FAECHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CALIFORNIA MEN'S COLONY HIGHWAY 1, DEPARTMENT OF MEDICINE, SAN LUIS OBISPO, CA 93409-0001
(805) 547-7900
(805) 547-7513
Mailing address
CALIFORNIA MEN'S COLONY, P.O. BOX 8101 DEPARTMENT OF MEDICINE, SAN LUIS OBISPO, CA 93409-0001
(805) 547-7900
(805) 547-7513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A39548
CA
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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