Individual
DR. JAMES ALBERT FAUSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3777 S. PECOS MCLEOD, SUITE 103, LAS VEGAS, NV 89121-4265
(702) 434-2023
(702) 434-1976
Mailing address
3777 S. PECOS MCLEOD, SUITE 103, LAS VEGAS, NV 89121-4265
(702) 434-2023
(702) 434-1976
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
9702
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002102001
—
NV
01
—
480025767
RAILROAD MEDICARE ID #
NV
Enumeration date
03/23/2006
Last updated
11/14/2011
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