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Individual

DR. JARED ALAN MILLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3688 CAMPUS DR, SUITE 110, EAGLE MOUNTAIN, UT 84043-4718
(801) 789-5416
(801) 768-3237
Mailing address
3688 E CAMPUS DR, STE 110, EAGLE MOUNTAIN, UT 84005-4668
(801) 789-5416
(801) 768-3237

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5253845-1202
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
74-3079413
TAX ID
UT
05
870395551005
UT
01
HT 002456-001
TPN
UT
Enumeration date
05/06/2006
Last updated
03/09/2017
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