Myles Davis

NPI 1356612790 · on the registry since 2012

Practice

Address: 340 E 100 S
Salt Lake City, UT 84111
Phone: (801) 322-4257
Organisation at this address: Odyssey House
Odyssey House Inc
Odyssey House Of Utah
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 37

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 101YA0400X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-10-11

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