| Jeffrey G Miles, Md, Pc | |
|
4052 W Pioneer Pkwy Suite 109 Salt Lake City UT 84120-2062 | |
| (801) 966-6857 | |
| (801) 966-3450 |
| Full Name | Jeffrey G Miles, Md, Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4052 W Pioneer Pkwy, Salt Lake City, Utah |
| Authorized Official Name and Position | Jeffrey G Miles (PRESIDENT) |
| Authorized Official Contact | 8019666857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey G Miles, Md, Pc Po Box 702569 Salt Lake City UT 84170-2569 Ph: (801) 966-6857 | Jeffrey G Miles, Md, Pc 4052 W Pioneer Pkwy Suite 109 Salt Lake City UT 84120-2062 Ph: (801) 966-6857 |
| NPI Number | 1396926853 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 10/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396926853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 3242701205 (Utah) | Primary |
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