Individual
MELINDA M MIDGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11724 S STATE ST, DRAPER, UT 84020-7163
(801) 576-2092
(801) 576-2093
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4792541-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107008945101
SELECT HEALTH
UT
01
—
47925411200001
BLUE CROSS/BLUE SHIELD
UT
01
—
63122
PEHP
UT
01
—
670074
DESERET MUTUAL BENEFIT AS
UT
01
—
87029387384062B002
TRICARE
UT
01
—
870293873MID
EMIA
UT
05
—
D3560
—
UT
01
—
QM0000046556
ALTIUS
UT
Enumeration date
09/14/2006
Last updated
01/27/2025
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