Individual
DR. CHRISTOPHER FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 288-4095
(618) 288-2984
Mailing address
1 MCBRIDE AND SON CENTER DR, STE150, CHESTERFIELD, MO 63005-1425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036106586
IL
208M00000X
Hospitalist Physician
Primary
036106586
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36106586
—
IL
01
—
P00237918
RAILROAD MEDICARE
—
Enumeration date
02/23/2006
Last updated
10/23/2007
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