Organization
PATRICK M. FARRELL, DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK M. FARRELL DPM (PRESIDENT)
(928) 342-1588
Entity
Organization
Contact information
Practice address
11551 S FORTUNA RD STE A, YUMA, AZ 85367-7858
(928) 342-1588
(928) 342-2289
Mailing address
11551 S FORTUNA RD STE A, YUMA, AZ 85367
(928) 342-1588
(928) 342-2289
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
334
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
701153
MEDICAID AHCCCS
—
01
—
AZ0194340
BCBS
—
Enumeration date
10/29/2007
Last updated
11/09/2007
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