Individual
DR. MICHAEL AUSTIN HEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3200 N CANYON RD, # D, PROVO, UT 84604-4571
(801) 373-3300
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 373-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8862859-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
5688
NE
Other
Enumeration date
06/26/2007
Last updated
08/04/2021
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