Individual provider · NPI-1

David Mills, MD

Family Medicine · Cody, WY

NPI number1366854408

StatusActive

Last updated in NPPESFeb 23, 2022

Details

NPI: 1366854408
Entity type: Individual (NPI-1)
Name: David Mills
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: May 23, 2014
Certification date: Feb 23, 2022
Last updated: Feb 23, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	11130A	WY	Yes
207Q00000X	Family Medicine	9495049-1205	UT

Practice location

201 Yellowstone Ave
Cody, WY 82414-9313

Phone 307-527-7561

Mailing address

Po Box 35100
Billings, MT 59107-5100

Phone 307-527-7561

Other practice locations

4403 Harrison Blvd
Suite A700
Ogden, UT 84403-3271

Phone 801-387-5322 · Fax 801-387-5335

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