Individual
COREY JACKSON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1485 E 3900 S STE 103, SALT LAKE CITY, UT 84124-1464
(801) 277-1087
(801) 277-6742
Mailing address
1485 E 3900 S STE 103, SALT LAKE CITY, UT 84124-1464
(801) 277-1087
(801) 277-6742
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
68839
MN
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
12770968-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2017
Last updated
08/06/2022
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