Individual
DR. MICHAEL KEVIN MAGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1138 WILMINGTON AVE, SALT LAKE CITY, UT 84106-2819
(801) 213-3900
Mailing address
PO BOX 510004, SALT LAKE CITY, UT 84151-0004
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
273060-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080087056
RAILROAD MEDICARE
UT
Enumeration date
06/05/2006
Last updated
02/12/2014
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