MEDICARE: DR. DANIEL SCOTT MEHR 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	208600000X	Surgery Physician	54208301205	UT
2	208600000X	Surgery Physician	52151	WI
3	208600000X	Surgery Physician	MD60923826	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396891677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL SCOTT MEHR M.D.

Provider Business Mailing Address
First Line	:	25 E LOAFER DR
Second Line	:
City	:	WOODLAND HILLS
State	:	UT
Zip	:	84653-2090
Country	:	US
Telephone Number	:	801-369-7390
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 E LOAFER DR
Second Line	:
City	:	WOODLAND HILLS
State	:	UT
Zip	:	84653-2090
Country	:	US
Telephone Number	:	801-369-7390
Fax Number	:

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	01/28/2022

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