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Individual

MICHAEL DAVID MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1555 E RIVER RD, TUCSON, AZ 85718-5831
(152) 032-1950
(520) 321-9005
Mailing address
1555 E RIVER RD, TUCSON, AZ 85718-5831
(152) 032-1950
(520) 321-9005

Taxonomy

Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
32609
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
857724
AHCCCS
AZ
Enumeration date
11/02/2006
Last updated
07/08/2007
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