Individual
JEREMY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MSC 09 5030, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 250-4708
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2016-0109
NM
390200000X
Student in an Organized Health Care Education/Training Program
2016-0109
NM
Other
Enumeration date
03/29/2013
Last updated
09/26/2024
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