Provider Demographics
NPI:1750577417
Name:MILES, RODNEY ROYCE (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:ROYCE
Last Name:MILES
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
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Mailing Address - Street 1:500 CHIPETA WAY
Mailing Address - Street 2:ARUP LABORATORIES, HEMEPATH MEDICAL DIRECTORS
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-1221
Mailing Address - Country:US
Mailing Address - Phone:801-581-5854
Mailing Address - Fax:
Practice Address - Street 1:500 CHIPETA WAY
Practice Address - Street 2:ARUP LABORATORIES, HEMEPATH MEDICAL DIRECTORS
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84108-1221
Practice Address - Country:US
Practice Address - Phone:801-581-5854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-17
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5412464-1205207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology