Organization
COTTONWOOD PEDIATRIC GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS L MIZELL JR. M.D. (PHYSICIAN)
(801) 314-4455
Entity
Organization
Contact information
Practice address
5770 S 250 E, STE330, MURRAY, UT 84107-8100
(801) 314-4455
(801) 314-4433
Mailing address
5770 S 250 E, STE330, MURRAY, UT 84107-8100
(801) 314-4455
(801) 314-4433
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
168364-1205
UT
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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