Individual
REGAN R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2101 ELM STREET N, FARGO, ND 58102
(701) 239-3700
(618) 222-3203
Mailing address
2101 ELM STREET N, FARGO, ND 58102
(701) 239-3700
(618) 222-3203
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.005034
IL
363AM0700X
Medical Physician Assistant
1070753
MO
Other
Enumeration date
05/17/2006
Last updated
06/23/2025
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