Individual
JEREMY GLENN MILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
630 N ALVERNON WAY, SUITE 250, TUCSON, AZ 85711-1843
(520) 647-8854
(520) 647-8851
Mailing address
630 N ALVERNON WAY, SUITE 250, TUCSON, AZ 85711-1843
(520) 647-8854
(520) 647-8851
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2007-0031
NM
Other
Enumeration date
09/28/2007
Last updated
08/13/2014
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