Individual
TREVOR MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
305 W COUNTRY CLUB RD, ROSWELL, NM 88201-5892
(575) 622-6322
Mailing address
305 W COUNTRY CLUB RD, ROSWELL, NM 88201-5892
(575) 622-6322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2023-1087
NM
207Q00000X
Family Medicine Physician
MRO-2042
ID
Other
Enumeration date
05/24/2021
Last updated
06/25/2024
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