Provider Demographics
NPI:1346232618
Name:MILLER, GIA DEGIOVANNI (MD)
Entity Type:Individual
Prefix:DR
First Name:GIA
Middle Name:DEGIOVANNI
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:GIA
Other - Middle Name:MARIE
Other - Last Name:DEGIOVANNI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3040
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-3040
Mailing Address - Country:US
Mailing Address - Phone:435-865-0218
Mailing Address - Fax:435-865-0228
Practice Address - Street 1:1333 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-9314
Practice Address - Country:US
Practice Address - Phone:435-865-0218
Practice Address - Fax:435-865-0228
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6221255-1205208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT6221255-1205OtherSTATE OF UTAH
H62323Medicare UPIN