Individual
DR. JON S FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 MASTHEAD ST NE, SUITE 120, ALBUQUERQUE, NM 87109-4327
(505) 243-7729
(505) 243-4804
Mailing address
PO BOX 30585, ALBUQUERQUE, NM 87190-0585
(505) 243-7729
(505) 243-4804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
87-228
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39438
—
NM
Enumeration date
09/23/2005
Last updated
10/26/2011
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