Individual
JOHN FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 617-2000
Mailing address
20 N GRAND BLVD, SAINT LOUIS, MO 63103-2005
(800) 758-3678
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
20260006975
MO
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
03/19/2026
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