MILO LYMAN MOODY

PROVO, UT
NPI1659554764
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: UT  148865-1205)
Enumeration Date2007-12-12
Last Update Date2007-12-12
Business Address
Dr. MILO LYMAN MOODY M.D.
777 N 500 W #104
PROVO, UT 84601-1541
Phone number: 801-374-9299
Mailing Address
Dr. MILO LYMAN MOODY M.D.
777 N 500 W #104
PROVO, UT 84601-1541
Phone number: 801-374-9299
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