| Mr Richard L Mittan, PA-C | |
|
65 E 6850 S, Midvale, UT 84047-1215 | |
| (801) 568-6700 | |
| Not Available |
| Full Name | Mr Richard L Mittan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 65 E 6850 S, Midvale, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215446919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 10498761-1206 (Utah) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 10498761-1206 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard L Mittan, PA-C 773 E 11th Ave, Salt Lake City, UT 84103-3641 Ph: (180) 191-53902 | Mr Richard L Mittan, PA-C 65 E 6850 S, Midvale, UT 84047-1215 Ph: (801) 568-6700 |
David Figueroa, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 | |
Miss Nicole Marie Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7302 S Bingham Junction Blvd, Midvale, UT 84047 Phone: 801-442-5502 | |
Mr. Mark P Pulver, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 602 Fort Union Blvd, 2nd Floor, Midvale, UT 84047 Phone: 801-313-1010 Fax: 801-747-2116 | |
Lynn Don Falkner, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 | |
Deisy Ramirez Aguilar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 W 7200 S Ste A, Midvale, UT 84047 Phone: 801-566-5494 Fax: 801-561-9647 | |
Mr. Patrick Barde Lang, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7495 South. State Street, Midvale, UT 84047 Phone: 801-213-9400 |