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1184656407
FARRELL G. FORSBERG
SALT LAKE CITY, UT
NPI
1184656407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: UT 161875-1205)
Enumeration Date
2006-07-07
Last Update Date
2012-12-04
Business Address
-- FARRELL G. FORSBERG M.D.
389 S 900 E
SALT LAKE CITY, UT 84102-2310
Phone number: 385-282-2000
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Mailing Address
-- FARRELL G. FORSBERG M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-535-8163
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