Individual
DR. DAVID ETHAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 S MCCASLIN BLVD STE 110, LOUISVILLE, CO 80027-9701
(720) 279-9682
(720) 279-9687
Mailing address
400 S MCCASLIN BLVD STE 110, LOUISVILLE, CO 80027-9701
(720) 279-9682
(720) 279-9687
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0043394
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C805046
MEDICARE PTAN
CO
Enumeration date
07/21/2005
Last updated
07/28/2015
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