Individual provider · Type 1 NPI

Michael Edwin Farrell, CSA

Surgical Physician Assistant · O Fallon, MO

NPI number 1699148429 Active

Practice location

2425 Sansonnet Ln
O Fallon, MO 63368-3597

Call (501) 658-6186 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1699148429

Michael Edwin Farrell, CSA's National Provider Identifier is 1699148429, issued on Nov 2, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in O Fallon, MO. The record was last updated on Jan 31, 2023.