Individual
DR. RICHARD WARREN FARNUM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103-6983
(336) 778-7564
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2019-01528
NC
390200000X
Student in an Organized Health Care Education/Training Program
226694
NC
Other
Enumeration date
08/28/2013
Last updated
07/07/2021
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