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Contact Information

DR ROBERT M MISKA LLC
370 9TH AVE
SUITE 106
SALT LAKE CITY, UT84103-2877
 Phone: 801-208-5945
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DR ROBERT M MISKA LLC

NPI Number 1881876944
LBN Legal business name DR ROBERT M MISKA LLC
Authorized official JENNIFER DAWSON - (CLINIC MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2007
Last updated 10/09/2008 - About 18 years ago
Identifiers
UT License # 184986-1205
UT Medicaid 1881876944
UT Other 130005996 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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