Individual
JEFFREY E MIDGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAB
Contact information
Practice address
1673 S KAY DR, KAYSVILLE, UT 84037-8517
(801) 654-2042
Mailing address
1673 S KAY DR, KAYSVILLE, UT 84037-8517
(801) 654-2042
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
46D2188471
UT
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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