Mimnaugh, Steven

Mimnaugh, Steven is an individual health care provider with primary practice located at 3580 W 9000 S , West Jordan UT 84088-8812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Mimnaugh, Steven can be contacted via phone (801) 561-8888.

Contact Information

Primary practice address
3580 W 9000 S West Jordan UT 84088-8812
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 168138-1205 Utah

Profile Details

NPI number 1962464453
LBN Legal business name Mimnaugh, Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Apr 7th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962464453 NPPES
Utah MEDICAID 07083

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