Individual
DR. MARK FARRENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3004 GORDONVILLE RD, CAPE GIRARDEAU, MO 63703-5008
(573) 332-1972
(573) 334-4667
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
04-43091
KS
2084N0400X
Neurology Physician
Primary
2021011233
MO
208D00000X
General Practice Physician
9409082
KS
Other
Enumeration date
03/28/2016
Last updated
05/06/2021
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