NPI 1013159003

Cody Brad Mickelsen, MD

Practitioner Anesthesiology Physician Providence, UT

Practice location

Address: 560 W 465 N STE 604, Providence, UT 84332-8006
Phone: (435) 753-1600

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 9806425-1205 (UT)

Other Anesthesiology providers in Utah →

Registry record

NPI: 1013159003
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2009
Record last updated: 23 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.