NPI 1417307547

Jonathan Fausett, DO

Practitioner Family Medicine Physician Berryville, AR

Practice location

Address: 207 Carter St, Berryville, AR 72616-4303
Phone: (870) 423-3355

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence E-12113 (AR)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1417307547
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2016
Record last updated: 4 Jun 2019

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.