Individual
MR. PHILLIP FAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
802 5TH ST N, CASSELTON, ND 58012-3346
(701) 347-5352
Mailing address
10 PARK ST, ABSARAKA, ND 58002-5005
(701) 866-1166
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
327-07
ND
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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