person
Mr. Richard L Mittan, PA-C
Medical Physician Assistant in Midvale, Utah
NPI 1215446919

Richard L Mittan is a Medical Physician Assistant based in Salt Lake City, UT and is specialized in Medical. Richard L Mittan practices in Midvale, UT and has the professional credentials of PA-C. The NPI Number for Richard L Mittan is 1215446919 and holds a License No. 10498761-1206 (Utah).

The current practice location address for Richard L Mittan is 65 E 6850 S, Midvale, UT and can be reached out via phone at 801-568-6700. You can also correspond with Richard L Mittan through the mailing address at 773 E 11TH AVE, SALT LAKE CITY, UT - 84103-3641 (mailing address contact number: 180-191-53902).

Location: 65 E 6850 S, Midvale, UT, 84103-3641
person
Provider Profile Details
NPI Number
1215446919
Provider Name
Richard L Mittan
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
65 E 6850 S, Midvale, UT, 84103-3641
Phone Number
801-568-6700
Fax Number
Provider Enumeration Date
09/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
65 E 6850 S
City
State
Zip
84047-1215
Phone Number
801-568-6700
Fax Number
person
Provider Business Mailing Address Details
Address
773 E 11Th Ave
City
State
Zip
84103-3641
Phone Number
180-191-53902
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10498761-1206 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
10498761-1206 (Utah)
Definition
Definition to come...
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