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NPI Code Detail

MEDICARE: TROY B DEMILL

MEDICARE: TROY B DEMILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist291942-4101UT

General Provider Information

NPI Number : 1841322161
Entity Type Code : Individual
Provider Name (Legal Business Name) : TROY B DEMILL
Provider Business Mailing Address
First Line : 2000 S 900 E
Second Line :
City : SLC
State : UT
Zip : 84105-3208
Country : US
Telephone Number : 801-464-7660
Fax Number : 801-464-7558
Provider Business Practice Location Address
First Line : 2000 S 900 E
Second Line :
City : SLC
State : UT
Zip : 84105-3208
Country : US
Telephone Number : 801-464-7660
Fax Number : 801-464-7558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 02/19/2008

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Directions to “ TROY B DEMILL ” Practice Location

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