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Individual

MATTHEW FARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
(801) 387-2050
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
10507924-1205
UT
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
10507924-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/28/2016
Last updated
07/22/2022
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