Individual
DAVID R MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5740 CRESTWOOD DR, OGDEN, UT 84405-4869
(801) 479-7771
(801) 479-7795
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
107432-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942419049
—
UT
Enumeration date
05/22/2007
Last updated
01/22/2018
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