| Doctor Name: | DR. STACY LYNN MCFAUL |
| NPI Number: | 1609875061 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | H9518 |
| Business Practice Address: | 207 Dominion Drive Applehead Island Marble Falls, TX - 786577078 |
| Business Phone Number: | 9525951100 |
| Business Fax Number: | 6122944903 |
| Mailing Address: | 11995 Singletree Lane, Suite 500 EDEN PRAIRIE |
| State: | MN |
| Postal Code: | 553445349 |
| Phone Number: | 9525951301 |
| Fax Number: | 6122944903 |
| NPI Enumeration Date: | 07/19/2005 |
| NPI Last Update Date: | 06/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | H9518 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |