Individual
MICHAEL JEFFREY FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1510 12TH AVE RD STE 200, NAMPA, ID 83686-6946
(208) 302-6800
(208) 302-6855
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3871481
ID
363A00000X
Physician Assistant
57691
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/11/2019
Last updated
01/14/2026
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