Individual
DR. ROBERT MAC MILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2020 N 12TH ST, GRAND JUNCTION, CO 81501-2914
(970) 644-4220
(970) 263-4239
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 644-4220
(970) 263-4239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2013030080
MO
207Q00000X
Family Medicine Physician
Primary
DR.0066028
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144519562
—
MO
Enumeration date
04/06/2011
Last updated
07/09/2021
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