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Individual

JOSEPH R. MIMS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MA

Contact information

Practice address
30 N 1900 E RM 2B200, SALT LAKE CITY, UT 84132-0002
(801) 581-2121
Mailing address
30 N 1900 E RM 2B200, SALT LAKE CITY, UT 84132-0002
(801) 581-2121

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13289373-1205
UT
207VM0101X
Maternal & Fetal Medicine Physician
13289373-1205
UT

Other

Enumeration date
04/23/2019
Last updated
01/30/2024
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