Organization
DANIEL DT FARNSWORTH IV PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL FARNSWORTH IV OD (OWNER)
(304) 269-2020
Entity
Organization
Contact information
Practice address
137 MAIN AVE, WESTON, WV 26452-1944
(304) 269-2020
(304) 269-2020
Mailing address
137 MAIN AVE, WESTON, WV 26452-1944
(304) 269-2020
(304) 269-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
823-OD
WV
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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