Individual
MR. FRED DOUGLAS MILLER
Active
Individual
MR. FRED DOUGLAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12217
AZ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
12217
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263773
—
AZ
01
—
AZ0725850
BLUE CROSS/BLUE SHIELD
AZ
Enumeration date
07/29/2005
Last updated
07/13/2026
Update your record
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