Provider Demographics
NPI:1154393148
Name:FARR, ROBERT WESLEY (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WESLEY
Last Name:FARR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10220 N LOOP RD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-8637
Mailing Address - Country:US
Mailing Address - Phone:850-501-7696
Mailing Address - Fax:
Practice Address - Street 1:3100 MACCORKLE AVE SE STE 902
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1234
Practice Address - Country:US
Practice Address - Phone:304-388-6590
Practice Address - Fax:304-388-6595
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV125892083A0100X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine