| Michael Stephen Miles, PA-C | |
|
721 E 12200 S, Draper, UT 84020-9723 | |
| (801) 369-8989 | |
| Not Available |
| Full Name | Michael Stephen Miles |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 721 E 12200 S, Draper, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174175426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11898518-1206 (Utah) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Confederated Tribes of the Goshute Reservation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750510277 PECOS PAC ID: 0042451650 Enrollment ID: O20130724000653 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Stephen Miles, PA-C 672 W 400 S, Ste 201, Springville, UT 84663-3170 Ph: (801) 369-8989 | Michael Stephen Miles, PA-C 721 E 12200 S, Draper, UT 84020-9723 Ph: (801) 369-8989 |
Maria Marieta Svagr Margot, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 74 E Kimballs Ln Ste 300, Draper, UT 84020 Phone: 801-572-0311 |
Scott Bruderer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1126 E 12300 S, Draper, UT 84020 Phone: 801-545-0500 Fax: 801-545-0626 |
Nicole Kelly, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12340 S 450 E, Draper, UT 84020 Phone: 801-501-9797 |
Aspen Wayment Jones, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 11762 S State St Ste 110, Draper, UT 84020 Phone: 385-218-0587 Fax: 385-381-4447 |
Mrs. Nyssa Elise Seaton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12101 S State St, Draper, UT 84020 Phone: 801-501-9797 Fax: 801-501-9799 |
Megan Furber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-576-2000 |
Laura Eccles, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 360, Draper, UT 84020 Phone: 801-260-3687 |