Organization
J. RANDALL FARRAR, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON RANDALL FARRAR MD (OWNER)
(509) 585-8983
Entity
Organization
Contact information
Practice address
1155 JADWIN AVE, RICHLAND, WA 99352-3434
(509) 585-8983
Mailing address
1155 JADWIN AVE, RICHLAND, WA 99352-3434
(509) 585-8983
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD00031441
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1101799
—
WA
Enumeration date
11/08/2010
Last updated
11/08/2010
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