Individual
AMY FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 864-4031
Mailing address
5515 PEACH ST, ERIE, PA 16509-2603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS018625
PA
207R00000X
Internal Medicine Physician
OT016643
PA
Other
Enumeration date
06/19/2015
Last updated
04/26/2017
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