Individual
DOUGLAS EARL FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1244 N MAIN ST STE 201, TOOELE, UT 84074-9839
(435) 882-3968
Mailing address
1244 N MAIN ST STE 201, TOOELE, UT 84074-9839
(435) 882-3968
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7552989-4405
UT
Other
Enumeration date
11/08/2017
Last updated
03/17/2018
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