# MARK MILLER, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447459367
- **Authorized official:** MARK E MILLER MD (PRESIDENT)
- **Authorized official phone:** (928) 526-1112

## Contact information

- **Practice address:** 1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
- **Practice address phone:** (928) 526-1112
- **Mailing address:** PO BOX 30488, FLAGSTAFF, AZ 86003-0488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 07/11/2007