Provider Demographics
NPI:1568591956
Name:BRIAN L. FARQUHAR O.D.,P.C.
Entity Type:Organization
Organization Name:BRIAN L. FARQUHAR O.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:FARQUHAR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:847-217-5434
Mailing Address - Street 1:15024 N 102ND ST.
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-8915
Mailing Address - Country:US
Mailing Address - Phone:847-217-5434
Mailing Address - Fax:480-686-9092
Practice Address - Street 1:7611 W THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033-5433
Practice Address - Country:US
Practice Address - Phone:623-849-7984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-03
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1567261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty