NPI 1053402826

Douglas Floyd Fackler, PAC

Practitioner Medical Physician Assistant Evansville, IN

Practice location

Address: Evansville VA Outpatient Clinic 500 E. Walnut, Evansville, IN 47713
Phone: (812) 465-6202
Fax: (812) 465-6201
Mailing address: 143 Pennyrile Dr, Madisonville, KY 42431-9219

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA00512 (TX)

Other Physician Assistant providers in Indiana →

Registry record

NPI: 1053402826
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2006
Record last updated: 8 Jul 2007

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.