Dr. Jordan Farley, DO
Anesthesiology, Pain Medicine in Creve Coeur, MO. Individual provider (NPI-1).
NPI number1669979340
StatusActive
Last updated in NPPESAug 4, 2023
Details
- NPI
- 1669979340
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jordan Farley
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2018
- Certification date
- Aug 4, 2023
- Last updated
- Aug 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | 2023022557 | MO | Yes |
| 207L00000X | Anesthesiology | 2023022557 | MO |
Practice location
633 Emerson Rd Ste 100Creve Coeur, MO 63141-6739
Phone 314-991-4342 · Fax 844-395-0839
Mailing address
633 Emerson Rd Ste 100Creve Coeur, MO 63141-6739
Phone 314-991-4342 · Fax 844-395-0839
Other practice locations
992 Wentzville Pkwy
Wentzville, MO 63385-3695
Wentzville, MO 63385-3695
Phone 314-991-4342 · Fax 844-395-0839
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