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Individual

DR. ANTHONY W MIDDLETON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 FOOTHILL DR, SURGERY (UROLOGY), SALT LAKE CITY, UT 84148-0001
(801) 531-9453
(801) 531-9467
Mailing address
1060 E 100 S, STE 110, SALT LAKE CITY, UT 84102-1591
(801) 707-5482
(801) 707-5482

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
150723-1205
UT

Other

Enumeration date
05/31/2005
Last updated
05/05/2010
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