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Individual

MR. J RANDALL FARRAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1215 GEORGE WASHINGTON WAY, RICHLAND, WA 99352-3442
(509) 946-1004
Mailing address
PO BOX 160, RICHLAND, WA 99352-0160
(509) 946-1004

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00031441
WA
207RC0000X
Cardiovascular Disease Physician
MD00031441
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11014944
RAIL ROAD MEDICARE
WA
05
1101799
WA
01
154834286
GROUP HEALTH
WA
Enumeration date
10/03/2006
Last updated
08/14/2019
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