Individual
MICHAEL O ISOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4501 S HAWARDEN DR, WEST VALLEY CITY, UT 84119-5763
(801) 520-1007
Mailing address
4501 S HAWARDEN DR, WEST VALLEY CITY, UT 84119-5763
(801) 520-1007
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
5262807-3102
UT
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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