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Individual

DAN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4231 W 16TH AVE, DENVER, CO 80204-1335
(719) 537-0712
Mailing address
PO BOX 150, HOLLY, CO 81047-0150

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
172987
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06272282
CO
Enumeration date
07/05/2006
Last updated
08/07/2013
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