Individual
RYAN T. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(715) 387-5511
Mailing address
6379 CENTER DR, NORFOLK, VA 23502-4102
(757) 467-4200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101289626
VA
207P00000X
Emergency Medicine Physician
Primary
0116038333
VA
2255A2300X
Athletic Trainer
1368
WI
Other
Enumeration date
09/26/2012
Last updated
07/13/2026
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