Individual
MRS. SAMANTHA PAIGE FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7211
Mailing address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1964
MN
363AM0700X
Medical Physician Assistant
Primary
002419
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1110372
NCCPA
—
Enumeration date
08/15/2013
Last updated
07/10/2025
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