Individual
TYLER JACOB MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1228 S 900 E, SALT LAKE CITY, UT 84105-1326
(801) 883-5378
Mailing address
640 E HOLLYWOOD AVE, SALT LAKE CITY, UT 84105-3025
(208) 870-4572
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
05/06/2024
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