Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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David R Miller, PA-C

Individual provider Physician Assistant · NPI 1942419049

David R Miller, PA-C is a Physician Assistant in Ogden, Utah. Qualified in 1991, 35 years ago. Practices with Clanton Enterprises Series LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
35
Licensed in
UT
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5740 Crestwood Dr
Ogden, UT 84405-4869
Phone: (801) 479-7771
Fax: (801) 479-7795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 107432-1206 (UT)

Record details

NPI number1942419049
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 22, 2007
Last updated in NPPESJanuary 22, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Clanton Enterprises Series Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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