Individual
NICHOLAS ROBERT FAUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 NE NEFF RD STE 302, BEND, OR 97701-4279
(541) 706-6915
(541) 706-6733
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A158826
CA
2086S0102X
Surgical Critical Care Physician
Primary
A158826
CA
2086S0127X
Trauma Surgery Physician
A158826
CA
Other
Enumeration date
07/12/2017
Last updated
11/05/2024
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