Individual
MILES P MOTTONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7000
Mailing address
4577 S ARCADIA LN, HOLLADAY, UT 84117-4364
(801) 462-1590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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