Individual
DR. GEORGE E FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1894 HOLDENVILLE ST, HENDERSON, NV 89052-7061
(702) 269-6822
Mailing address
1894 HOLDENVILLE ST, HENDERSON, NV 89052-7061
(702) 269-6822
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
12065
NE
2085R0202X
Diagnostic Radiology Physician
Primary
12065
NE
2085R0204X
Vascular & Interventional Radiology Physician
12065
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01438
BLUE CROSS BLUE SHIELD
NE
05
—
0550863
—
IA
05
—
100362890A
—
KS
01
—
300113306
RR MEDICARE
NE
Enumeration date
06/02/2006
Last updated
06/04/2008
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