Individual
DR. RYAN SHURTLIFF FARRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1108 BASICH BLVD, ABERDEEN, ABERDEEN, WA 98520-1066
(360) 533-0400
(360) 533-5633
Mailing address
14301 FNB PKWY, STE 100, OMAHA, NE 68154-7200
(402) 493-1212
(888) 972-1672
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DO-05903
IA
2085R0202X
Diagnostic Radiology Physician
OP00001975
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8410029
—
WA
Enumeration date
06/26/2006
Last updated
10/01/2021
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