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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