Healthcare Provider Details

I. General information

NPI: 1336280759
Provider Name (Legal Business Name): MICHAEL S CURTIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 04/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 W 200 N
LINDON UT
84042-1809
US

IV. Provider business mailing address

830 N 2000 W
PLEASANT GROVE UT
84062-4047
US

V. Phone/Fax

Practice location:
  • Phone: 801-796-1333
  • Fax: 801-443-1164
Mailing address:
  • Phone: 801-756-3511
  • Fax: 801-443-1164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5601393-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: