Individual
MR. LEE DOYLE FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT (T)
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3080
Mailing address
2854 FOLTZ ST, INDIANAPOLIS, IN 46241-5906
(317) 243-0855
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
412707
IN
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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