DR. Travis Scott Mickelson, M.D.

NPI #1831364249 in Slc, Utah

Provider Information

NPI Number
1831364249
Entity Type
Individual
Name
DR. Travis Scott Mickelson, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychiatry & Neurology - Psychiatry
Credential
M.D.
Enumeration Date
Apr 25, 2008
Last Updated
Apr 25, 2008

Practice Location

Address
DEPARTMENT OF PSYCHIATRY
Address 2
30 N. 1900 E.
City
Slc
State
Utah
ZIP Code
84132-0001
Phone
(801) 581-7951

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - PsychiatryPsychiatry

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