Individual
JOHNMARK FARLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
390 NORTH LOOP ROAD, FORT IRWIN, CA 92310
(866) 957-9224
Mailing address
390 N LOOP ROAD, FORT IRWIN, CA 92310
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
32966
NE
Other
Enumeration date
03/14/2019
Last updated
06/27/2024
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