Organization
MICHAEL S KOTTLER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STEPHEN KOTTLER MD (PRESIDENT)
(801) 424-3090
Entity
Organization
Contact information
Practice address
4568 HIGHLAND DR, SUITE 160, SALT LAKE CITY, UT 84117-4263
(801) 424-3090
(801) 424-3091
Mailing address
PO BOX 27688, SALT LAKE CITY, UT 84127-0688
(801) 534-1360
(801) 366-9883
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1591691205
UT
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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