Individual
JACK D FARLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
241 EXECUTIVE DR, MARION, OH 43302-6307
(740) 387-3256
(740) 383-4906
Mailing address
241 EXECUTIVE DR, MARION, OH 43302-6307
(740) 387-3256
(740) 383-4906
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50000262
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091779
—
OH
Enumeration date
10/11/2006
Last updated
10/08/2014
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