MEDICARE: DANIEL S. MEHR, M.D., P.C.

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

General Provider Information

NPI Number	:	1487837936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL S. MEHR, M.D., P.C.

Provider Business Mailing Address
First Line	:	PO BOX 518
Second Line	:
City	:	PAYSON
State	:	UT
Zip	:	84651-0518
Country	:	US
Telephone Number	:	801-423-7953
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 E LOAFER RD
Second Line	:
City	:	WOODLAND HILLS
State	:	UT
Zip	:	84653-2090
Country	:	US
Telephone Number	:	801-423-7953
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANIEL S MEHR
Credential	:	M.D.
Telephone Number	:	810-423-7953

Provider Enumeration Date	:	12/06/2007
Last Update Date	:	02/07/2008

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