Organization
FAUSTER CAMERON INC., DBA DEFIANCE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD L. PETER (CEO)
(419) 784-1414
Entity
Organization
Contact information
Practice address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 784-1414
Mailing address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 784-1414
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/10/2006
Last updated
02/18/2010
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