Individual
DR. MICHAEL I MUNFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1251 NORTHFIELD RD, STE 202, CEDAR CITY, UT 84721-8623
(435) 867-0300
(435) 867-0331
Mailing address
1251 NORTHFIELD RD, SUITE 202, CEDAR CITY, UT 84721-8622
(435) 867-0300
(435) 867-0331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4880747-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107004053101
IHC
UT
01
—
48807471201001
BCBS
UT
01
—
63237
PEHP
UT
01
—
687379
DMBA
UT
01
—
870673778MUN
EMIA
UT
Enumeration date
02/03/2006
Last updated
04/11/2017
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