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Organization
PATRICK M. FARRELL, DPM INC
Active
Organization
PATRICK M. FARRELL, DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK M. FARRELL DPM (PRESIDENT)
(928) 342-1588
Entity
Organization
Contact information
Practice address
11551 S FORTUNA RD STE A, YUMA, AZ 85367-7858
(928) 342-1588
(928) 342-2289
Mailing address
11551 S FORTUNA RD STE A, YUMA, AZ 85367
(928) 342-1588
(928) 342-2289
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
334
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
701153
MEDICAID AHCCCS
—
01
—
AZ0194340
BCBS
—
Enumeration date
10/29/2007
Last updated
11/09/2007
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