Individual
DR. MICHAEL J. FARRELL IV
Active
Individual
DR. MICHAEL J. FARRELL IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
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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