Individual
GARY FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MED CENTER DR, CLARKSBURG, WV 26301-4155
(304) 623-3461
Mailing address
648 TERRACE AVE APT 5, WESTON, WV 26452-1500
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
73467
WV
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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