Individual
DR. ROBERT C. FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 W IRONWOOD DR, STE 236, COEUR D ALENE, ID 83814-4484
(208) 765-1345
(208) 667-9622
Mailing address
700 W IRONWOOD DR, STE 236, COEUR D ALENE, ID 83814-4484
(208) 765-1345
(208) 667-9622
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M5806
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006074
REGENCE BLUE SHIELD OF ID
—
05
—
0083130
—
MT
01
—
58065
BLUE CROSS OF IDAHO
—
05
—
8409252
—
WA
Enumeration date
07/01/2005
Last updated
04/26/2010
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