Individual
JOHN WESLEY FARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 200, FORT WAYNE, IN 46845-1714
(260) 425-6030
(260) 425-6028
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(260) 266-6013
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
67.000188
OH
367H00000X
Anesthesiologist Assistant
Primary
75000048A
IN
Other
Enumeration date
09/21/2011
Last updated
10/12/2022
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