Organization
WASATCH SENIOR AND FAMILY CARE LLC
Active
Organization
WASATCH SENIOR AND FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMES FARRELL IV DO (SOLE MEMBER)
(435) 400-1051
Entity
Organization
Contact information
Practice address
544 E 1200 S, HEBER CITY, UT 84032-4497
(435) 400-1051
Mailing address
PO BOX 307, BOUNTIFUL, UT 84011-0307
(801) 294-6907
(801) 294-6917
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
10/14/2022
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