Individual
DR. DOUGLAS M FARRAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1149 VISTA PARK DR, SUITE C, FOREST, VA 24551-4684
(434) 616-2455
(434) 253-1806
Mailing address
1149 VISTA PARK DR, SUITE C, FOREST, VA 24551-4684
(434) 616-2455
(434) 253-1806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
014273
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294100099
—
ME
Enumeration date
06/27/2006
Last updated
02/17/2015
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