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Organization

FAULKNER PLASTIC SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRENT CABELL FAULKNER M.D. (PHYSICIAN/OWNER)
(571) 331-2032
Entity
Organization

Contact information

Practice address
6000 EXECUTIVE BLVD STE 204, NORTH BETHESDA, MD 20852-3803
(571) 331-2032
Mailing address
6000 EXECUTIVE BLVD STE 204, NORTH BETHESDA, MD 20852-3803
(571) 331-2032

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Enumeration date
01/03/2019
Last updated
01/03/2019
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