JOHN MCLAIN FAGGARD III M.D. - NPI 1194939421

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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About John Mclain Faggard Iii M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN MCLAIN FAGGARD III M.D. (NPI 1194939421) is an individual specialist in Sandpoint, Idaho, licensed in Idaho (M6916) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1194939421

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameJOHN MCLAIN FAGGARD IIICredential: M.D.

Location Address1005 HIGHWAY 2Sandpoint, ID 83864-1702

Mailing Address1005 Highway 2Sandpoint, ID 83864-1702 · (208) 265-5916 · Fax (208) 255-2066

Phone(208) 265-5916

Fax(208) 255-2066

Sole ProprietorYes

Enumeration DateMay 9, 2007

Last NPPES UpdateMay 14, 2012

✔ NPI 1194939421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in ID · M6916

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1005 HIGHWAY 2, Sandpoint, ID 83864

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