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NPI Code Detail

MEDICARE: ROBERT FARMER MD SC

MEDICARE: ROBERT FARMER MD SC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0036097185IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013101211
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT FARMER MD SC
Provider Business Mailing Address
First Line : 211 E HANOVER ST
Second Line :
City : NEW BADEN
State : IL
Zip : 62265-1811
Country : US
Telephone Number : 618-588-2900
Fax Number : 618-588-2904
Provider Business Practice Location Address
First Line : 211 E HANOVER ST
Second Line :
City : NEW BADEN
State : IL
Zip : 62265-1811
Country : US
Telephone Number : 618-588-2900
Fax Number : 618-588-2904
Authorized Official
Title or Position : OWNER
Name : DR. ROBERT FARMER
Credential : MD
Telephone Number : 618-588-2900
Provider Enumeration Date : 08/30/2007
Last Update Date : 08/30/2007

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