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Individual

WILLIAM E. FARAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5 HILLCREST PLAZA WAY, MONTROSE, CO 81401-5876
(970) 615-7223
(970) 615-7226
Mailing address
2233 E MAIN ST, MONTROSE, CO 81401-3831
(970) 765-0818
(970) 497-8410

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DR.0042726
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95008853
CO
01
CO41233
MEDICARE B PTAN FOR ROCKY MOUNTAIN REHABILITATION
01
P00836931
RAILROAD WORKERS MEDICARE FOR ROCKY MOUNTAIN REHABILITATION
Enumeration date
06/18/2006
Last updated
06/30/2020
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