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Individual

DR. MILO LYMAN MOODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
777 N 500 W, #104, PROVO, UT 84601-1541
(801) 374-9299
(801) 377-4220
Mailing address
777 N 500 W, #104, PROVO, UT 84601-1541
(801) 374-9299
(801) 377-4220

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
148865-1205
UT

Other

Enumeration date
12/12/2007
Last updated
12/12/2007
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