MICHAEL EDWIN FARRELL

O FALLON, MO
NPI1699148429
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2015-11-02
Last Update Date2023-01-31
Business Address
MICHAEL EDWIN FARRELL CSA
2425 SANSONNET LN
O FALLON, MO 63368-3597
Phone number: 501-658-6186
Mailing Address
MICHAEL EDWIN FARRELL CSA
2425 SANSONNET LN
O FALLON, MO 63368-3597
Phone number: 501-658-6186