Individual
DR. JOHN M FAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
08729
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00308019
—
MS
05
—
158379
—
AL
01
—
512G700003
MS MEDICARE - GROUP
MS
01
—
P00156792
RAILROAD MEDICARE
MS
01
—
P00462199
RAILROAD MEDICARE
MS
01
—
P01236962
RAILROAD MEDICARE
MS
Enumeration date
07/07/2006
Last updated
04/25/2014
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