NPI 1790396554

Stephanie G Mishenko

Practitioner Military Health Care Provider Slc, UT

Practice location

Address: 344e 100s, Slc, UT 84111
Phone: (801) 322-3222

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in Utah →

Registry record

NPI: 1790396554
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Aug 2020
Record last updated: 13 Aug 2020

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.