Individual
DR. JOSEPH K MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
151 S UNIVERSITY AVE, SUITE 2800, PROVO, UT 84601-4427
(801) 851-7011
(801) 851-7536
Mailing address
151 S UNIVERSITY AVE, SUITE 2800, PROVO, UT 84601-4427
(801) 851-7011
(801) 851-7536
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
161096-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05664
—
UT
01
—
103003506102
SELECT HEALTH PROVIDER
UT
01
—
55102
PEHP
UT
01
—
73-00012
UNITED HEALTH CARE
UT
05
—
7565
—
UT
05
—
876112298013
—
UT
05
—
PR00489
—
UT
01
—
QM0000039389
ALTIUS
UT
Enumeration date
05/01/2006
Last updated
07/09/2007
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