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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAVIA ALEASE MIMS

Active

TAVIA ALEASE MIMS is a Podiatric Surgery healthcare provider located in SALT LAKE CITY, Utah. NPI 1639890189 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · SALT LAKE CITY, UT

Registration Details

NPI Number
1639890189
Provider Type
Individual
Gender
Female
NPI Issued
Sep 2, 2022 (3.9601711980649 yrs)
Last Updated
Sep 2, 2022

Practice Information

Address
814 W 800 S APT C
SALT LAKE CITY, UT, 841041491
Browse UT providers · Browse ZIP 84104
Phone
8016572920
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in SALT LAKE CITY, UT

Name Credential NPI
CORA CISNEROS 1528613361
CHARLENE PAUL 1073160073
TREVOR STEVEN SHICK 1467175927
LEON ALLEN PETERSON TECHNICIAN-ATTENDANT 1659140119
KATHRYN VAN TASSELL 1952286866
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.