Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John Anton Fackenthall, DO

Individual provider Family Medicine Physician · NPI 1568449288

Dr. John Anton Fackenthall, DO is a Family Medicine Physician in Walla Walla, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1312 E Isaacs Ave
Walla Walla, WA 99362-2152
Phone: (509) 252-4100
Fax: (509) 529-7033
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OP00000703 (WA)

Record details

NPI number1568449288
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedDecember 22, 2005
Last updated in NPPESJanuary 3, 2013
Mailing address1312 E Isaacs Ave, Walla Walla, WA 99362-2152

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