Individual
JENNIFER ANNE FARWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
980 W IRONWOOD DR STE 201, COEUR D ALENE, ID 83814-2668
(208) 765-4888
(208) 667-8618
Mailing address
980 W IRONWOOD DR STE 201, COEUR D ALENE, ID 83814-2668
(208) 765-4888
(208) 667-8618
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
O-1031
ID
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/19/2013
Last updated
05/14/2020
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