Miller, Tony Landon

Miller, Tony Landon is an individual health care provider with primary practice located at 1160 E 3900 S Ste 5000 , Salt Lake City UT 84124-1275. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Miller, Tony Landon can be contacted via phone (801) 261-7479.

Contact Information

Primary practice address
1160 E 3900 S Ste 5000 Salt Lake City UT 84124-1275
Phone: (801) 261-7479
Fax: (801) 261-7429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5182123-1206 Utah

Profile Details

NPI number 1275576274
LBN Legal business name Miller, Tony Landon
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 1st, 2022 - about 2 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 1275576274 NPPES
Utah Other P00054602 RAILROAD MEDICARE
Utah Other QM0000071840 RAILROAD MEDICARE

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