Individual
DR. JORDAN FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
633 EMERSON RD STE 100, CREVE COEUR, MO 63141-6739
(314) 991-4342
(844) 395-0839
Mailing address
633 EMERSON RD STE 100, CREVE COEUR, MO 63141-6739
(314) 991-4342
(844) 395-0839
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2023022557
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2023022557
MO
Other
Enumeration date
04/10/2018
Last updated
08/04/2023
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