Individual
TONY LANDON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
(801) 525-8151
Mailing address
PO BOX 337, LAYTON, UT 84041-0337
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5182123-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00054602
RAILROAD MEDICARE
UT
01
—
QM0000071840
ALTIUS
UT
Enumeration date
06/14/2006
Last updated
02/03/2025
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