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Individual
GREGORY W FARIS
Active
Individual
GREGORY W FARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01073676A
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
01073676A
IN
208000000X
Pediatrics Physician
01073676A
IN
208000000X
Pediatrics Physician
35.097527
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
01073676A
IN
Other
Enumeration date
08/25/2008
Last updated
03/07/2025
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