Individual
MICHAEL SCOTT MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 581-1565
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C18364
UT
224P00000X
Prosthetist
Primary
C18364
UT
224P00000X
Prosthetist
CP003176
UT
Other
Enumeration date
10/03/2008
Last updated
11/24/2008
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