Miller, Dylan V

Miller, Dylan V is an individual health care provider with primary practice located at 5252 S Intermountain Dr , Murray UT 84107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Miller, Dylan V can be contacted via phone (801) 507-2150.

Contact Information

Primary practice address
5252 S Intermountain Dr Murray UT 84107
Phone: (801) 507-2150
Fax: (801) 507-2311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 7192380-1205 Utah

Profile Details

NPI number 1548240468
LBN Legal business name Miller, Dylan V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Nov 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548240468 NPPES
Colorado MEDICAID 94002359
Colorado MEDICAID 819638900
Colorado MEDICAID 808386400
Colorado MEDICAID 200245740A

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