MEDICARE: DR. MICHAEL SCOTT MAJOR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	4889252-8905	UT

General Provider Information

NPI Number	:	1558394783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL SCOTT MAJOR M.D.

Provider Business Mailing Address
First Line	:	1055 N 500 W
Second Line	:	ATTN: CREDENTIALING
City	:	PROVO
State	:	UT
Zip	:	84604-3305
Country	:	US
Telephone Number	:	801-354-8225
Fax Number	:	801-418-0941

Provider Business Practice Location Address
First Line	:	5896 S RIDGELINE DR
Second Line	:	STE B
City	:	SOUTH OGDEN
State	:	UT
Zip	:	84405-6779
Country	:	US
Telephone Number	:	801-866-0170
Fax Number	:	801-866-0169

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	11/27/2023

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