Individual
PETER DONALD FARR
Active
Individual
PETER DONALD FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
01036562A
IN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
01036562A
IN
208D00000X
General Practice Physician
01036562A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090810
—
IN
01
—
170270F
MEDICARE
IN
01
—
1831379445
NPI
IN
Enumeration date
11/12/2007
Last updated
03/26/2021
Update your record
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