Individual
DR. MICHAEL J. FARRELL IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
520 N MAIN ST STE 336, HEBER CITY, UT 84032-1216
(801) 397-4040
Mailing address
520 N MAIN ST STE 336, HEBER CITY, UT 84032-1216
(801) 397-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10074148-1204
UT
207Q00000X
Family Medicine Physician
20A12688
CA
207QA0401X
Addiction Medicine (Family Medicine) Physician
10074148-1204
UT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
10074148-1204
UT
Other
Enumeration date
07/01/2011
Last updated
10/06/2021
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