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NPI Code Detail

MEDICARE: COREY A MILLER MD PC

MEDICARE: COREY A MILLER MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician841713051205UT

General Provider Information

NPI Number : 1689693814
Entity Type Code : Organization
Provider Name (Legal Business Name) : COREY A MILLER MD PC
Provider Business Mailing Address
First Line : 1485 E 3900 S
Second Line : STE 103
City : SALT LAKE CITY
State : UT
Zip : 84124-1412
Country : US
Telephone Number : 801-277-1087
Fax Number : 801-277-6742
Provider Business Practice Location Address
First Line : 1485 E 3900 S
Second Line : STE 103
City : SALT LAKE CITY
State : UT
Zip : 84124-1412
Country : US
Telephone Number : 801-277-1087
Fax Number : 801-277-6742
Authorized Official
Title or Position : PRESIDENT
Name : COREY A MILLER
Credential : MD
Telephone Number : 801-277-1087
Provider Enumeration Date : 07/19/2006
Last Update Date : 08/22/2020

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Directions to “COREY A MILLER MD PC ” Practice Location

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