All Medicaid billing entities listing FACKRELL, ROBERT (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $2K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ROBERT L. FACKRELL DDS PA | POCATELLO, ID | Dentist | $2K |