Individual
BETHANY JAYNE FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
E-15476
AR
2086S0102X
Surgical Critical Care Physician
E-15176
AR
2086S0120X
Pediatric Surgery Physician
Primary
77170
MN
2086S0120X
Pediatric Surgery Physician
E-15176
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2362640
—
LA
Enumeration date
04/01/2014
Last updated
02/19/2025
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