Provider Demographics
NPI:1891942637
Name:RICHARD F FARAH MD PC
Entity Type:Organization
Organization Name:RICHARD F FARAH MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRES
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:FARAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-770-2301
Mailing Address - Street 1:4141 B ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-5940
Mailing Address - Country:US
Mailing Address - Phone:907-770-2301
Mailing Address - Fax:907-770-2325
Practice Address - Street 1:4141 B ST
Practice Address - Street 2:SUITE 401
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-5940
Practice Address - Country:US
Practice Address - Phone:907-770-2301
Practice Address - Fax:907-770-2325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2483208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty