Individual
MATTHEW JOSEPH FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(785) 865-7459
Mailing address
4107 FRANCIS ST, KANSAS CITY, KS 66103-3324
(785) 865-7459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9529250-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2014
Last updated
05/16/2017
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