Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 313139 | KY |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 313139 | LA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | DR0054665 | CO |
NPI | 1669715322 |
---|---|
Provider Name | Ryan Patrick Farmer |
First Address | Baton Rouge, LA 70816-6038 |
Second Address | Lafayette, LA 70508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2013 |
Last Update Date | 21/01/2022 |