Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy J Micklos, MD

Individual provider Diagnostic Radiology Physician · NPI 1629023742

Dr. Timothy J Micklos, MD is a Diagnostic Radiology Physician in Murray, Utah. Licensed in Idaho and Utah. Registered with an NPI since 2006.

Licensed in
ID, UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5444 Green St
Murray, UT 84123-5632
Phone: (801) 262-8120
Fax: (801) 262-5721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 172983-1205 (UT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence M-8397 (ID)

Record details

NPI number1629023742
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESSeptember 7, 2012
Mailing address5444 Green St, Murray, UT 84123-5632

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