Individual
DR. RICHARD A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5115 FONTAINE BLVD, FOUNTAIN, CO 80817-1061
(719) 390-7885
(719) 390-8694
Mailing address
5115 FONTAINE BLVD, FOUNTAIN, CO 80817-1061
(719) 390-7885
(719) 390-8694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31078
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01310788
—
CO
Enumeration date
03/16/2006
Last updated
08/09/2011
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