MEDICARE: JEFFREY G MILES, MD, PC

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	261QP2300X	Primary Care Clinic/Center	3242701205	UT

General Provider Information

NPI Number	:	1396926853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFREY G MILES, MD, PC

Provider Business Mailing Address
First Line	:	PO BOX 702569
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84170-2569
Country	:	US
Telephone Number	:	801-966-6857
Fax Number	:	801-966-3450

Provider Business Practice Location Address
First Line	:	4052 W PIONEER PKWY
Second Line	:	SUITE 109
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84120-2062
Country	:	US
Telephone Number	:	801-966-6857
Fax Number	:	801-966-3450

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JEFFREY G MILES
Credential	:	MD
Telephone Number	:	801-966-6857

Provider Enumeration Date	:	11/26/2007
Last Update Date	:	10/23/2012

Similar Medicare Providers

1932169430 — DR. TIMOTHY S GRANGE MD
Practice Location Address:

4052 PIONEER PKWY , SUITE 208
SALT LAKE CITY, UT
84120-2062

Practice Phone: 801-955-1232
Practice Fax: 801-955-1543

1942448329 — DAN HIBBERT UROLOGY, LLC
Practice Location Address:

4052 PIONEER PKWY , #202
SALT LAKE CITY, UT
84120-2062

Practice Phone: 801-955-4685
Practice Fax:

1841241338 — JOHN ADOLF BACH D.C.
Practice Location Address:

1473 S 600 E
S SALT LAKE, UT
84105-2062

Practice Phone: 801-487-1010
Practice Fax:

1275885055 — DR. ANGELA D CANADA D.C.
Practice Location Address:

1473 S 600 E
SALT LAKE CITY, UT
84105-2062

Practice Phone: 801-487-1010
Practice Fax: 801-487-1015

1962748988 — LIBERTY HEALTH & WELLNESS LLC
Practice Location Address:

1473 S 600 E
SALT LAKE CITY, UT
84105-2062

Practice Phone: 801-487-1010
Practice Fax: 801-487-1015

1457741845 — RAY MEHRKISH
Practice Location Address:

2062 E SUSAN WAY
SALT LAKE CITY, UT
84121-3738

Practice Phone: 801-815-5259
Practice Fax:

Directions to “JEFFREY G MILES, MD, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.