# DR. ROY DAVID FARRIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376518068
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD14753 | OR | Yes |

## Other

- **Enumeration date:** 02/17/2006
- **Last updated:** 10/12/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 050056548 | RR MEDICARE | — |
| 05 | — | 100251871-00 | — | NE |
| 05 | — | 1016484 | — | WA |
| 05 | — | 1376518068 | — | ID |
| 05 | — | 1376518068 | — | MT |
| 05 | — | 179093 | — | OR |
| 05 | — | 2085789301 | — | KS |
| 05 | — | MD998OR | — | AK |