Individual
MR. SAMUEL DAVID FARRIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011-8704
(509) 247-5755
Mailing address
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011-8704
(509) 247-5755
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
02/05/2010
Last updated
04/26/2010
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