Organization Name: | TYLER K MILLER |
NPI Number: | 1528331048 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TYLER MILLER (OWNER/MANAGER) |
Mailing Address: | 242 N 300 E Manti |
State: | UT US |
Postal Code: | 846421107 |
Phone Number: | 4358358220 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2012 |
NPI Last Update Date: | 03/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |