Individual
DR. PATRICK EDWARD FARRELL
Active
Individual
DR. PATRICK EDWARD FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
M6441
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010158339
BLUE SHIELD OF IDAHO
ID
05
—
003692900
—
ID
01
—
76755
BLUE CROSS OF IDAHO
ID
Enumeration date
05/04/2006
Last updated
01/02/2020
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