Individual
CAROL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 W 16TH ST, GREELEY, CO 80634-6862
(970) 310-9474
Mailing address
3400 W 16TH ST, GREELEY, CO 80634-6862
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT.0016608
CO
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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