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
735 FAIRFAX AVE STE 1017C, NORFOLK, VA 23507-2007
(757) 446-6190
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0116038333
VA
2255A2300X
Athletic Trainer
1368
WI
Other
Enumeration date
09/26/2012
Last updated
08/02/2023
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