Individual
MICHAEL SCOTT MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N 300 W, SALT LAKE CITY, UT 84103-1215
(614) 293-3570
Mailing address
333 N 300 W, SALT LAKE CITY, UT 84103-1215
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12656568-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
07/28/2022
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