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Individual

DR. GARRY TIM MILLER II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
555 W SR 164 NORTH, SALEM, UT 84653-1666
(801) 465-4813
(801) 812-5433
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101017699
MI
207R00000X
Internal Medicine Physician
Primary
7929795-1204
UT

Other

Enumeration date
08/27/2008
Last updated
11/27/2023
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