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Individual

DR. PATRICK DUNLEAVY FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9093 RIDGEFIELD DR STE 104, FREDERICK, MD 21701-6711
(301) 682-4100
Mailing address
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269-1284
(618) 233-5480
(618) 222-4790

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125069142
IL
207Q00000X
Family Medicine Physician
2018020870
MO
207Q00000X
Family Medicine Physician
Primary
H0098041
MD

Other

Enumeration date
04/22/2016
Last updated
09/26/2023
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