Provider Demographics
NPI:1609162296
Name:MILLER, EMMA J (DO)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:J
Last Name:MILLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 S 1100 W STE B
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-6041
Mailing Address - Country:US
Mailing Address - Phone:801-653-2757
Mailing Address - Fax:801-653-2747
Practice Address - Street 1:3401 N CENTER ST
Practice Address - Street 2:SUITE 150
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-7497
Practice Address - Country:US
Practice Address - Phone:801-653-2757
Practice Address - Fax:801-653-2747
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT9402835-1204207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology