Whalio Doctors

NPI 1033440631

Enock Elie Faustin, MD

Practitioner Diagnostic Radiology Physician Joplin, MO

Practice location

Address
1102 W 32nd St, Joplin, MO 64804-3503
Phone
(417) 347-6611
Fax
(417) 347-6662
Mailing address
PO Box 3810, Joplin, MO 64803-3810

Registered specialties (2)

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 2019007127 (MO)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 04-473646 (KS)

Registry record

NPI
1033440631
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jan 2010
Record last updated
10 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.