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Cody Mickelsen, MD
NPI 1013159003 · on the registry since 2009
Practice
- Address
- 560 W 465 N Ste 604
Providence, UT 84332 - Phone
- (435) 753-1600
- Organisation at this address
- Interwest Anesthesia Associates Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 27
Registry record
- Primary taxonomy
- Anesthesiology Physician
207L00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah