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Organization
MICHAEL L. FARLEY, D.O., A MEDICAL CORPORATION
Active
Organization
MICHAEL L. FARLEY, D.O., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LLOYD FARLEY D.O. (PRESIDENT)
(530) 510-3745
Entity
Organization
Contact information
Practice address
2175 ROSALINE AVE, REDDING, CA 96001-2549
(530) 510-3745
Mailing address
PO BOX 991480, REDDING, CA 96099-1480
(530) 229-9300
(530) 229-9045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A9624
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A9624
LICENSE
CA
Enumeration date
08/05/2006
Last updated
12/14/2018
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