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Individual

DR. GREGORY J MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10 WOODLAND RD, SAINT HELENA, CA 94574-9554
(707) 967-5721
Mailing address
1121 E 3900 S, STE C240, SALT LAKE CITY, UT 84124-1214
(801) 262-9494
(801) 262-0507

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
259833-1205
UT
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
G149823
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D1105
UT
01
P00265120
RAILROAD MEDICARE
UT
Enumeration date
05/12/2006
Last updated
09/15/2021
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