DR. Milo Lyman Moody, M.D.

NPI #1659554764 in Provo, Utah

Provider Information

NPI Number: 1659554764
Entity Type: Individual
Name: DR. Milo Lyman Moody, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Dec 12, 2007
Last Updated: Dec 12, 2007

Practice Location

Address: 777 N 500 W
Address 2: #104
City: Provo
State: Utah
ZIP Code: 84601-1541
Phone: (801) 374-9299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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