Individual
TODD K FARNWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15810 S 45TH ST, STE 140, PHOENIX, AZ 85048-7697
(480) 759-3001
(480) 759-1341
Mailing address
15801 S 37TH ST, PHOENIX, AZ 85048-7325
(480) 239-4799
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
17174
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
17174
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294653
—
AZ
Enumeration date
02/14/2006
Last updated
04/29/2025
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