Individual
ROGER FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9030 CLINE AVE STE A, HIGHLAND, IN 46322-2204
(219) 750-9497
Mailing address
2106 WICKLOW DR, VALPARAISO, IN 46385-7437
(219) 309-7388
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010873A
IN
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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