Doctor Name: | MR. DON ROSS MILLER |
NPI Number: | 1992838783 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 351544-2401 |
Business Practice Address: | 2400 N 400 E North Ogden, UT - 844147233 |
Business Phone Number: | 8017867700 |
Business Fax Number: | 8017867705 |
Mailing Address: | 2400 North Washington Blvd., NORTH OGDEN |
State: | UT |
Postal Code: | 84414 |
Phone Number: | 8017867700 |
Fax Number: | 8017867705 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 351544-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |