Individual
JASON TODD FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6787
Mailing address
1216 GARRITY BLVD, NAMPA, ID 83687-3402
(208) 343-6458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3671876
ID
207RG0100X
Gastroenterology Physician
Primary
3671876
ID
208M00000X
Hospitalist Physician
OS022074
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2019
Last updated
05/08/2026
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