Individual
MIROSLAV DINIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 MORRIS AVE STE 400, SOUTH SALT LAKE, UT 84115-3295
(801) 585-9098
Mailing address
240 MORRIS AVE STE 400, SOUTH SALT LAKE, UT 84115-3295
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
13339939-2506
UT
Other
Enumeration date
04/12/2023
Last updated
08/23/2023
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