Individual
DR. MICHAEL HAWKES METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1820 SIDEWINDER DR, PARK CITY, UT 84060-7492
(435) 655-6600
(435) 655-2388
Mailing address
1820 SIDEWINDER DR, PARK CITY, UT 84060-7492
(435) 655-6600
(435) 655-2388
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
4956934-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09-00368
UNITED HEALTH CARE
UT
01
—
49569348901001
SELECT HEALTH PLANS
UT
01
—
68380
PUBLIC EMPLOYEES HEALTH
UT
01
—
841433992MM2
EDUCATORS MUTUAL
UT
01
—
TPRA09041
MOLINA ADVANTAGE
UT
Enumeration date
05/16/2006
Last updated
10/11/2007
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