Individual
PROF. OWEN JAMES FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
216 N 2ND ST, AMITE, LA 70422-2408
(985) 748-7878
(985) 748-2837
Mailing address
PO BOX 398, AMITE, LA 70422-0398
(985) 748-7878
(985) 748-2837
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
02877
LA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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