# MICHAEL S KOTTLER MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568644557
- **Authorized official:** MICHAEL STEPHEN KOTTLER MD (PRESIDENT)
- **Authorized official phone:** (801) 424-3090

## Contact information

- **Practice address:** 4568 HIGHLAND DR, SUITE 160, SALT LAKE CITY, UT 84117-4263
- **Practice address phone:** (801) 424-3090
- **Practice address fax:** (801) 424-3091
- **Mailing address:** PO BOX 27688, SALT LAKE CITY, UT 84127-0688
- **Mailing address phone:** (801) 534-1360
- **Mailing address fax:** (801) 366-9883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 1591691205 | UT | Yes |

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 11/30/2007