MEDICARE: DR. JOHN R MACFARLANE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	1839181205	UT

General Provider Information

NPI Number	:	1679533343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN R MACFARLANE M.D.

Provider Business Mailing Address
First Line	:	5171 S COTTONWOOD ST STE 910
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-5704
Country	:	US
Telephone Number	:	801-507-9800
Fax Number	:	801-507-9909

Provider Business Practice Location Address
First Line	:	5171 COTTONWOOD ST
Second Line	:	SUITE 950
City	:	MURRAY
State	:	UT
Zip	:	84107-5704
Country	:	US
Telephone Number	:	801-507-9555
Fax Number	:	801-507-9550

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2006
Last Update Date	:	08/02/2019

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