Doctor Name: | PETER DONALD FARR |
NPI Number: | 1831379445 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 01036562A |
Business Practice Address: | 19706 State Line Rd Lawrenceburg, IN - 470259317 |
Business Phone Number: | 8125379435 |
Business Fax Number: | 8125379434 |
Mailing Address: | 19706 State Line Rd, LAWRENCEBURG |
State: | IN |
Postal Code: | 470259317 |
Phone Number: | 8125379435 |
Fax Number: | 8125379434 |
NPI Enumeration Date: | 11/12/2007 |
NPI Last Update Date: | 04/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01036562A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |