Healthcare Provider Details

I. General information

NPI: 1912430059
Provider Name (Legal Business Name): ASHLEY LYNE MILLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY LYNE TRANE

II. Dates (important events)

Enumeration Date: 04/05/2017
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S MEDICAL CENTER DR
ST GEORGE UT
84790-8723
US

IV. Provider business mailing address

PO BOX 30180
SALT LAKE CITY UT
84130-0180
US

V. Phone/Fax

Practice location:
  • Phone: 435-251-4900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number13961461-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: