Individual
JAMES VANNOY FARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 331-3402
(812) 355-6549
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 331-3402
(812) 355-6549
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01022156A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01022156A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100333020
—
IN
Enumeration date
06/20/2005
Last updated
09/13/2010
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