Individual
DR. BRENT FARNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-6160
Mailing address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-6160
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
005419
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A-1540-10
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
L8053
TX
Other
Enumeration date
02/17/2006
Last updated
06/17/2011
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