Individual
DR. FAROUK M JAARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
803 N SALK DR, CASA GRANDE, AZ 85222-5447
(520) 836-6682
(602) 240-6177
Mailing address
PO BOX 378, CELINA, OH 45822-0378
(419) 953-1989
(419) 586-4865
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35.046352
OH
207R00000X
Internal Medicine Physician
64152
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
64152
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114310
—
AZ
Enumeration date
04/17/2006
Last updated
07/16/2007
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