Misty Maddera

NPI #1770128597 in Bluffdale, Utah

Provider Information

NPI Number: 1770128597
Entity Type: Individual
Name: Misty Maddera
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Nov 15, 2019
Last Updated: Nov 15, 2019

Practice Location

Address: 15257 S SCENIC CREST CIR
City: Bluffdale
State: Utah
ZIP Code: 84065-5076
Phone: (801) 577-3086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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