Provider Demographics
NPI:1992066799
Name:MILLER, BRIEN REX (DO)
Entity type:Individual
Prefix:MR
First Name:BRIEN
Middle Name:REX
Last Name:MILLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6360 S 3000 E STE 220
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-6924
Mailing Address - Country:US
Mailing Address - Phone:801-944-3199
Mailing Address - Fax:801-944-3180
Practice Address - Street 1:368 E RIVERSIDE DR STE A
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-6897
Practice Address - Country:US
Practice Address - Phone:435-673-1149
Practice Address - Fax:435-673-1182
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT10707936-1204207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology