Larry D Farnes

NPI #1609850528 in University Place, Washington

Provider Information

NPI Number: 1609850528
Entity Type: Individual
Name: Larry D Farnes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Dec 5, 2005
Last Updated: Oct 10, 2012

Practice Location

Address: 4007 BRIDGEPORT WAY W
Address 2: SUITE C
City: University Place
State: Washington
ZIP Code: 98466-4330
Phone: (253) 565-7529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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