Individual
DONALD R FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
161 E WASHINGTON ST, PAINESVILLE, OH 44077-3449
(440) 352-2201
(440) 352-0242
Mailing address
1604 WEST 19TH STREET, ASHTABULA, OH 44004
(440) 964-5595
(440) 964-5003
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.002243
OH
213E00000X
Podiatrist
36002243
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0585531
—
OH
Enumeration date
03/10/2006
Last updated
04/02/2024
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