Individual
MR. JEFFREY HAINLIN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1607 PLANTATION ROAD, MOHAVE VALLEY, AZ 86440
(928) 346-4679
(928) 346-4686
Mailing address
1607 PLANTATION ROAD, MOHAVE VALLEY, AZ 86440
(928) 346-4679
(928) 346-4686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
006095
AZ
207Q00000X
Family Medicine Physician
OS006293L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018490760001
—
PA
01
—
1866133
HIGHMARK
PA
05
—
899447
—
AZ
Enumeration date
10/02/2006
Last updated
09/04/2019
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