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Individual

DR. MITCHELL RAY MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4403 HARRISON BLVD, STE A700, OGDEN, UT 84403-3271
(801) 387-5300
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-5300

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62664761204
UT

Other

Enumeration date
08/30/2006
Last updated
10/05/2007
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