Individual
RAYMOND M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
4700 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3160
(801) 475-3161
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3161
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7685189-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518401397
—
UT
Enumeration date
12/13/2016
Last updated
01/18/2018
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