Individual
DR. DOUGLAS EDSON FARST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3461 AUSTIN PEAY HWY, MEMPHIS, TN 38128-3801
(901) 261-4500
(901) 261-4511
Mailing address
5720 GLENWILD AVE, MEMPHIS, TN 38119-6023
(901) 683-4927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000015970
TN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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