Organization
KIMBERLY R FAUCHER MD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY R FAUCHER MD (OWNER/MD)
(707) 456-1100
Entity
Organization
Contact information
Practice address
1155 SOUTH MAIN STREET, WILLITS, CA 95490-4336
(707) 456-1100
Mailing address
415 TALMAGE ROAD, SUITE C, UKIAH, CA 95482-7486
(707) 468-0609
(707) 468-0633
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G74987
CA
Other
Enumeration date
12/03/2008
Last updated
04/23/2009
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