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

Miles P Mottonen

Individual provider Physician Assistant · NPI 1740965235

Miles P Mottonen is a Physician Assistant in Park City, Utah. Qualified in 2023, 3 years ago. Practices with Rosenberg Cooley Metcalf Lc, a 36-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023

Practice location Address checks out

900 Round Valley Dr
Park City, UT 84060-7552
Phone: (435) 658-7000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1740965235
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 21, 2023
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023
Mailing address4577 S Arcadia Ln, Holladay, UT 84117-4364

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Rosenberg Cooley Metcalf Lc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Park City