MEDICARE: SAMUEL Z MAKOFF

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	343900000X	Non-emergency Medical Transport (VAN)		UT

General Provider Information

NPI Number	:	1710835707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL Z MAKOFF

Provider Business Mailing Address
First Line	:	4820 S 1300 E APT 4
Second Line	:
City	:	MILLCREEK
State	:	UT
Zip	:	84117-7002
Country	:	US
Telephone Number	:	801-403-4436
Fax Number	:

Provider Business Practice Location Address
First Line	:	4820 S 1300 E APT 4
Second Line	:
City	:	MILLCREEK
State	:	UT
Zip	:	84117-7002
Country	:	US
Telephone Number	:	801-403-4436
Fax Number	:

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

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “ SAMUEL Z MAKOFF ” Practice Location

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