Individual
DEVAN MILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-1348
(801) 582-1565
Mailing address
5444 S WAYMAN LN, HOLLADAY, UT 84117-7830
(801) 688-0409
(801) 506-0296
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8125293-1205
UT
207Q00000X
Family Medicine Physician
DR.0070835
CO
Other
Enumeration date
06/08/2010
Last updated
04/28/2023
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