Individual
CHARLES M FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7202 N MILLBROOK AVE, SUITE 100, FRESNO, CA 93720-3341
(559) 435-1750
(559) 450-2108
Mailing address
7202 N MILLBROOK AVE, SUITE 100, FRESNO, CA 93720-3341
(559) 435-1750
(559) 450-2108
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G 45250
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG452500
—
CA
Enumeration date
09/13/2005
Last updated
06/23/2014
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