Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL J. FARRELL IV, D.O.
Active Sole ProprietorDR. MICHAEL J. FARRELL IV, D.O. is a Gastroenterology healthcare provider located in HEBER CITY, Utah. NPI 1619264397 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · HEBER CITY, UT
Registration Details
- NPI Number
- 1619264397
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2011 (14.934838773986 yrs)
- Last Updated
- Oct 6, 2021
- Licenses
-
10074148-1204 (UT)20A12688 (CA)10074148-1204 (UT)10074148-1204 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
520 N MAIN ST STE 336HEBER CITY, UT, 840321216Browse UT providers · Browse ZIP 84032
- Phone
- 8013974040
- Primary Specialty
-
Gastroenterology
207RG0300X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Addiction Medicine (Family Practice)
- Additional Specialty
- Gastroenterology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.