Individual
MR. MATTHEW DERRICK MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
9354 E THATCHER CIR, MESA, AZ 85212-8539
(480) 427-8381
Mailing address
9354 E THATCHER CIR, MESA, AZ 85212-8539
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
247267
AZ
Other
Enumeration date
09/12/2020
Last updated
09/12/2020
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