TRAVIS SCOTT MICKELSON

SLC, UT
NPI1831364249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: UT  6837701-1205)
Enumeration Date2008-04-25
Last Update Date2008-04-25
Business Address
Dr. TRAVIS SCOTT MICKELSON M.D.
DEPARTMENT OF PSYCHIATRY 30 N. 1900 E.
SLC, UT 84132-0001
Phone number: 801-581-7951
Mailing Address
Dr. TRAVIS SCOTT MICKELSON M.D.
30 N 1900 E
SLC, UT 84132-0002
Phone number: 801-581-7951