Organization
MAYBIRD MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN MIDDLEMISS (REGISTERED AGENT)
(801) 641-7473
Entity
Organization
Contact information
Practice address
7085 S WATERMILL CIR, COTTONWOOD HEIGHTS, UT 84121-4328
(801) 641-7473
Mailing address
7085 S WATERMILL CIR, COTTONWOOD HEIGHTS, UT 84121-4328
(801) 641-7473
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208600000X
Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
246ZC0007X
Surgical Assistant
—
—
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/04/2023
Last updated
07/29/2023
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