Healthcare Provider Details

I. General information

NPI: 1386731339
Provider Name (Legal Business Name): FRANKLIN J. MILLER JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 03/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPT RADIOLOGY UNIVERSITY OF UTAH 50 N MEDICAL DRIVE 1A71
SALT LAKE CITY UT
84132-0001
US

IV. Provider business mailing address

DEPT RADIOLOGY UNIVERSITY OF UTAH MED CENTER
SALT LAKE CITY UT
84132-1200
US

V. Phone/Fax

Practice location:
  • Phone: 801-581-7553
  • Fax: 801-581-2414
Mailing address:
  • Phone: 801-581-7553
  • Fax: 801-581-2414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number159974-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: