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Individual

MICHAEL O FARLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER, MURRAY, UT 84157
(801) 507-5248
(801) 733-5618
Mailing address
3340 NORTH CENTER ST, #800, LEHI, UT 84043-7406
(801) 990-1911
(801) 990-1912

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
170461-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100501998
NV
01
107006501102
IHC
UT
05
119269800
WY
01
1502954
UMWA
UT
01
20156
DESERET MUTUAL
UT
01
2090168
UNITED HEALTHCARE
UT
01
468
HEALTHY U
UT
01
73594
PEHP
UT
05
806754700
ID
05
833477
AZ
01
870545614FR2
EDUCATORS MUTUAL
UT
01
PRA02713
MOLINA
UT
01
QM0000075886
ALTIUS
UT
Enumeration date
09/15/2006
Last updated
10/15/2012
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