Individual
PAULA MARY FARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
36595 DETROIT RD, AVON, OH 44011-1509
(440) 934-4070
(440) 934-4884
Mailing address
36595 DETROIT RD, AVON, OH 44011-1509
(440) 934-4070
(440) 934-4884
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35047906
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0629038
—
OH
01
—
942460636329
CARESOURCE
OH
Enumeration date
06/08/2006
Last updated
06/01/2015
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