DR. MILO LYMAN MOODY M.D. NPI 1659554764

NPI Information

DR. Milo Lyman Moody, M.D. is a specialist in Provo, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Milo Lyman Moody, M.D. NPI is 1659554764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

777 N 500 W
#104
PROVO, UT
ZIP 84601-541
Phone: (801) 374-9299
Fax: (801) 377-4220

The enumeration date for this NPI number is 12/12/2007 and was last updated on 12/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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