Healthcare Provider Details

I. General information

NPI: 1073509287
Provider Name (Legal Business Name): DAVID C. FABER M.D., F.A.C.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 VALLEY DR
PT PLEASANT WV
25550-2031
US

IV. Provider business mailing address

2520 VALLEY DR
PT PLEASANT WV
25550-2031
US

V. Phone/Fax

Practice location:
  • Phone: 304-675-4340
  • Fax:
Mailing address:
  • Phone: 304-675-4340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35.129621
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD065086L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25311
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: