Individual
MIRKO SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
WEBER STATE UNIVERSITY, 1435 VILLAGE DRIVE, DEPT. 2801, OGDEN, UT 84408-2801
(850) 226-2251
Mailing address
274 N 3600 W, LAYTON, UT 84041-7114
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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