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Individual

DAVID ALLEN FARIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1219 JOHNSON AVE, SUITE 103, BRIDGEPORT, WV 26330-1353
(304) 842-8888
(304) 842-7629
Mailing address
1219 JOHNSON AVE, STE 103, BRIDGEPORT, WV 26330-1353
(304) 842-8888
(304) 842-7629

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
WV16046
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0095290000
WV
Enumeration date
12/08/2006
Last updated
04/05/2022
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