Individual
DR. RONALD JAMES MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 N 200 W, SUITE 209, BOUNTIFUL, UT 84010-7079
(801) 298-1300
(801) 296-6199
Mailing address
380 N 200 W, SUITE 209, BOUNTIFUL, UT 84010-7079
(801) 298-1300
(801) 296-6199
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
184451-1205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
184451-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002089159
—
NV
05
—
10435
—
UT
05
—
120411400
—
WY
05
—
923616
—
AZ
01
—
P00199609
RR MEDICARE
UT
01
—
P00651545
RR MEDICARE
UT
Enumeration date
08/10/2005
Last updated
03/10/2010
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