Individual
CLEMENT FARABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3109 FAIRWAY DR, ALTOONA, PA 16602-4475
(814) 696-8886
(814) 696-8883
Mailing address
PO BOX 108, HOLLIDAYSBURG, PA 16648-0108
(814) 696-8886
(814) 696-8883
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN266678L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
763209
HIGHMARK
PA
Enumeration date
04/19/2006
Last updated
11/26/2024
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