Individual
MR. GEORGE RICHARD FAULKNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4110 W 3RD ST, DAYTON, OH 45428
(937) 268-6511
Mailing address
9606 S UNION RD, MIAMISBURG, OH 45342-4604
(937) 865-0760
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
006631
OH
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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