Most Relevant Information
Provider Data
| NPI Number: | 1003006958 |
| Provider Name: | DAVID WAYNE FARRAR PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 1331 |
Most Important Dates
| Enumeration Date: | 07/26/2007 |
| Last Updated: | 01/25/2023 |
Provider Practice Location
217 WESTRIDGE DR
ORD
NE
688621675
Practice Location Phone/Fax
| Phone: | 3087284321 |
| Fax: |
Provider Mailing Location
217 WESTRIDGE DR
ORD
NE
688621675
Provider Mailing Phone/Fax
| Phone: | 3087284321 |
| Fax: |