Individual
DYLAN V MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5252 S INTERMOUNTAIN DR, MURRAY, UT 84107
(801) 507-2150
(801) 507-2311
Mailing address
5252 S INTERMOUNTAIN DR, MURRAY, UT 84107-5700
(801) 507-2150
(801) 507-2311
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
7192380-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200245740A
—
OK
05
—
808386400
—
ID
05
—
819638900
—
MN
05
—
94002359
—
CO
Enumeration date
01/18/2006
Last updated
11/29/2021
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