Individual
DR. CORY R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1213 15TH AVE W, WILLISTON, ND 58801-3800
(701) 572-7651
(701) 774-7482
Mailing address
1213 15TH AVE W, WILLISTON, ND 58801-3800
(701) 572-7651
(701) 774-7482
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5405
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14060
BLUE CROSS OF ND
ND
05
—
15855
—
ND
Enumeration date
07/17/2006
Last updated
10/24/2012
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