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Individual

PAUL E FARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1706 E JOYCE BLVD STE 1, FAYETTEVILLE, AR 72703-6297
(479) 439-6110
(479) 439-6110
Mailing address
1706 E JOYCE BLVD STE 1, FAYETTEVILLE, AR 72703-6297
(479) 439-6110
(479) 251-1676

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C7627
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126334001
AR
Enumeration date
06/08/2005
Last updated
04/06/2021
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