Individual provider · Type 1 NPI

Milo Lyman Moody, MD

Specialist · Provo, UT

NPI number 1659554764 Active

Practice location

777 N 500 W, #104
Provo, UT 84601-1541

Call (801) 374-9299 Map

Fax (801) 377-4220

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X148865-1205 (UT)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1659554764

Milo Lyman Moody, MD's National Provider Identifier is 1659554764, issued on Dec 12, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Provo, UT. The record was last updated on Dec 12, 2007.