Individual
DR. CYNTHIA DAWN FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3302 S BELT HWY, SAINT JOSEPH, MO 64503-1534
(800) 952-8387
(913) 946-1699
Mailing address
3302 S BELT HWY, SAINT JOSEPH, MO 64503-1534
(800) 952-8387
(913) 946-1699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
108380
MO
207QA0505X
Adult Medicine Physician
Primary
108380
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080191162
RR MEDICARE
MO
01
—
108380
STATE MEDICAL LICENSE
MO
01
—
20411
BNDD
MO
05
—
208482117
—
MO
Enumeration date
06/05/2006
Last updated
03/07/2023
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