Individual
DR. CHARLES DERRICK FARWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NAVAL HOSPITAL, CAMP PENDLETON, SANT MARGARITA RD, BLDG H100; ATTENTION: CODE 094, CAMP PENDLETON, CA 92055-5191
(760) 725-8882
(760) 725-1267
Mailing address
3376 LOCKWOOD DR, SAN DIEGO, CA 92123-2618
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9803
ND
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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