Individual
BRYAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
460 SLADE PL, SALT LAKE CITY, UT 84102-2019
(801) 747-9651
Mailing address
4460 HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(801) 747-9651
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/27/2010
Last updated
03/31/2011
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