JOHN MICHAEL SELF

MURRAY, UT
NPI1912012287
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208200000X Plastic Surgery
(Licence: UT  3557751205)
Enumeration Date2006-08-20
Last Update Date2007-07-08
Business Address
Mr. JOHN MICHAEL SELF MD
5292 SO COLLEGE DR 202
MURRAY, UT 84123
Phone number: 801-266-3671
Mailing Address
Mr. JOHN MICHAEL SELF MD
5292 SO COLLEGE DR 202
MURRAY, UT 84123
Phone number: 801-266-3671
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