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Tony Landon Miller, PA
Surgical Physician Assistant in Salt Lake City, Utah
NPI 1275576274

Tony Landon Miller is a Surgical Physician Assistant based in Atlanta, UT and is specialized in Surgical. Tony Landon Miller practices in Salt Lake City, UT and has the professional credentials of PA. The NPI Number for Tony Landon Miller is 1275576274 and holds a License No. 5182123-1206 (Utah).

The current practice location address for Tony Landon Miller is 1160 E 3900 S Ste 5000, Salt Lake City, UT and can be reached out via phone at 801-261-7479 and via fax at 801-261-7429. You can also correspond with Tony Landon Miller through the mailing address at PO BOX 100253, ATLANTA, GA - 30384-0253 (mailing address contact number: ).

Location: 1160 E 3900 S Ste 5000, Salt Lake City, UT, 30384-0253
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Provider Profile Details
NPI Number
1275576274
Provider Name
Tony Landon Miller
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1160 E 3900 S Ste 5000, Salt Lake City, UT, 30384-0253
Phone Number
801-261-7479
Fax Number
801-261-7429
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00054602 01 UT RAILROAD MEDICARE
QM0000071840 01 UT ALTIUS
institution
Provider Business Practice Location Address Details
Address
1160 E 3900 S Ste 5000
City
State
Zip
84124-1275
Phone Number
801-261-7479
Fax Number
801-261-7429
person
Provider Business Mailing Address Details
Address
Po Box 100253
City
State
Zip
30384-0253
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
5182123-1206 (Utah)
Definition
Definition to come...
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