Individual
PAUL ANDREW MISKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-3578
(801) 662-3583
Mailing address
PO BOX 3870, SALT LAKE CITY, UT 84110-3870
(801) 662-3578
(801) 662-3583
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
64180
WI
207L00000X
Anesthesiology Physician
DO176139
OR
207L00000X
Anesthesiology Physician
R-9232
IA
207LP3000X
Pediatric Anesthesiology Physician
Primary
11234377-1204
UT
207LP3000X
Pediatric Anesthesiology Physician
64180
WI
Other
Enumeration date
06/10/2011
Last updated
03/22/2023
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