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Individual

MICHAEL STEPHEN MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
721 E 12200 S, DRAPER, UT 84020-9723
(801) 369-8989
Mailing address
672 W 400 S, STE 201, SPRINGVILLE, UT 84663-3170
(801) 369-8989
(801) 704-9741

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11898518-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/16/2019
Last updated
03/11/2023
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