Individual
SEAN TYLER FARNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 344-3016
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011653
VA
363A00000X
Physician Assistant
PA14053
TX
Other
Enumeration date
02/06/2019
Last updated
02/24/2026
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