Individual
WILLIAM BRAD FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3398
(541) 296-1111
Mailing address
1700 E 19TH ST, THE DALLES, OR 97058-3398
(541) 296-1111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.067332
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2013
Last updated
07/25/2019
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