Individual
MARK DAVID MIFFLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4400 S 700 E, 240, SALT LAKE CITY, UT 84107-3053
(801) 264-4464
Mailing address
4400 S 700 E # 240, SALT LAKE CITY, UT 84107-3053
(801) 264-4464
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
185327-1205
UT
Other
Enumeration date
10/13/2006
Last updated
11/22/2021
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