Organization
DOUGLAS L MINER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOULAS L MINER M.D. (OWNER-MEMBER)
(940) 781-7072
Entity
Organization
Contact information
Practice address
3935 WILLOW CREEK RD, MOUNTAIN GREEN, UT 84050-9867
(940) 781-7072
Mailing address
3935 WILLOW CREEK RD, MOUNTAIN GREEN, UT 84050-9867
(940) 781-7072
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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