Individual
MIRANDA GREER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1141 SFH, PROVO, UT 84602-2246
(801) 362-0120
Mailing address
723 E 230 N, LINDON, UT 84042-2521
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
9875115
UT
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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