Healthcare Provider Details
I. General information
NPI: 1437387214
Provider Name (Legal Business Name): JARROD J. MACFARLANE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/30/2009
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 HOSPITAL AVE
DU BOIS PA
15801-1440
US
IV. Provider business mailing address
100 HOSPITAL AVE
DU BOIS PA
15801-1440
US
V. Phone/Fax
- Phone: 814-375-3261
- Fax: 814-375-3397
- Phone: 814-375-3261
- Fax: 814-375-3397
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | OS024326C |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: