Individual provider · Type 1 NPI

Marian Giselle Farfan Fontalvo, MD

Research Clinic/Center · Bellevue, NE

NPI number 1720909062 Active

Practice location

12011 S 29th Ave
Bellevue, NE 68123-1467

Call (402) 216-1318 Map

Specialties and licenses

TaxonomyCodeLicense
Research Clinic/Center Primary 261QR1100XNone listed

Research Clinic/Center: Definition to come...

About NPI 1720909062

Marian Giselle Farfan Fontalvo, MD's National Provider Identifier is 1720909062, issued on Jul 23, 2026. The primary taxonomy on file is Research Clinic/Center (261QR1100X), and the practice location is in Bellevue, NE. The record was last updated on Jul 23, 2026.