Individual
DYLAN MAC FARLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3125 HICKORY ST, SAINT LOUIS, MO 63104-1219
(828) 620-4700
Mailing address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(828) 620-4700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/07/2021
Last updated
03/18/2022
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