Individual
ROBERT M FARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 STYNER AVE, MOSCOW, ID 83843-9394
(208) 882-8369
Mailing address
PO BOX 9583, MOSCOW, ID 83843-0177
(208) 882-8369
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00026144
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003571
—
WA
05
—
8119273
—
WA
Enumeration date
08/17/2005
Last updated
01/08/2013
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