Individual
DOMINIC FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
255 S DOBSON RD STE 1, CHANDLER, AZ 85224-6231
(480) 722-2595
(480) 722-2599
Mailing address
224 PORTCHESTER RD, HOLLAND, MI 49424-2628
(616) 610-1979
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
12/10/2020
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