Provider Demographics
NPI:1093784647
Name:MILLER, RAY F (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:F
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 1ST AVE NE
Mailing Address - Street 2:ST LUKES CORPORATE HEALTH SERVICES
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52406
Mailing Address - Country:US
Mailing Address - Phone:319-369-8883
Mailing Address - Fax:319-369-7012
Practice Address - Street 1:830 1ST AVE NE
Practice Address - Street 2:ST LUKES CORPORATE HEALTH SERVICES
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402
Practice Address - Country:US
Practice Address - Phone:319-369-8153
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA177262083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D26144Medicare UPIN