Individual
DR. SUSAN M MIROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MD
Contact information
Practice address
73 G STREET, SALT LAKE CITY, UT 84103-2951
(801) 532-1212
(801) 532-1333
Mailing address
73 G STREET, SALT LAKE CITY, UT 84103-2951
(801) 532-1212
(801) 532-1333
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
158929-1205
UT
Other
Enumeration date
08/08/2006
Last updated
07/09/2007
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