Individual
DR. THOMAS M FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 390-1777
(636) 390-1778
Mailing address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 390-1777
(636) 390-1778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
102864
MO
208000000X
Pediatrics Physician
102864
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952345969
—
MO
05
—
209202407
—
MO
01
—
P00100113
RAILROAD MEDICARE
—
01
—
P01134606
RAILROAD MEDICARE
MO
Enumeration date
06/16/2006
Last updated
09/12/2014
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