Individual
GARY W FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1150 GRAHAM RD, #102, FLORISSANT, MO 63031-8077
(314) 837-5555
(314) 837-0832
Mailing address
19385 DEER POINTE ESTATES DR, GLENCOE, MO 63038-1147
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R5C77
MO
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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