Individual
MR. DEREK STEVEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS, PA-C
Contact information
Practice address
300 S JACKSON ST, SUITE 100, DENVER, CO 80209-3176
(303) 321-0222
(303) 321-6683
Mailing address
300 S JACKSON ST, SUITE 100, DENVER, CO 80209-3176
(303) 321-0222
(303) 321-6683
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0004448
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004448
PHYSICIAN ASSISTANT COLORADO LICENSE
CO
Enumeration date
11/11/2015
Last updated
11/11/2015
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