Milo Lyman Moody, M.D.

Specialist · Provo, UT

Individual Active NPI

NPI number 1659554764

Practice location

777 N 500 W
#104
Provo, UT 84601-1541
Phone
(801) 374-9299
Fax
(801) 377-4220

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NPI record

NPI
1659554764
Entity type
Individual (Type 1)
Enumeration date
December 12, 2007
Last updated
December 12, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 148865-1205 UT

About Dr. Moody

Milo Lyman Moody, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 777 N 500 W, #104, Provo, UT 84601-1541. The NPI number 1659554764 was assigned on December 12, 2007 and the record was last updated on December 12, 2007.

Dr. Moody lists a license in the registry: #148865-1205 (UT) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Milo Lyman Moody, M.D.?

The NPI number is 1659554764.

What is the phone number of Dr. Moody?

The phone number listed for the practice location is (801) 374-9299.

Where is Dr. Moody located?

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

What is the taxonomy code for Dr. Moody?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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