Individual
DANA S FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10238 E HAMPTON AVE STE 506, MESA, AZ 85209
(480) 834-7546
(480) 833-8313
Mailing address
1855 N STAPLEY DR, MESA, AZ 85203-3002
(480) 834-7546
(480) 833-8313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16483
NE
207Q00000X
Family Medicine Physician
44489
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47075088600
—
NE
05
—
485837
—
AZ
Enumeration date
09/13/2006
Last updated
06/04/2019
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