OrganizationActive
Pediatric Gastroenterology
NPI 1356188064 · Pediatric Gastroenterology Physician · Murray, UT
Provider details
- NPI number
- 1356188064
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Louis Mizell, Owner(385) 478-8975
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
164 E 5900 S Ste A112
Murray, UT 84107-7274
Phone: (385) 478-8975
Fax: (801) 269-9894
Approximate (ZIP-level) locationGet directions
Mailing address
1191 W Midas Trail Cir
South Jordan, UT 84095-8215
Registry dates
- Enumerated
- 2024-07-10
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.