Organization
YUMA PLASTIC SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS MARK MILLER M.D. (PRESIDENT)
(928) 344-1111
Entity
Organization
Contact information
Practice address
2435 S AVENUE A STE C, YUMA, AZ 85364-7176
(928) 344-1111
(928) 344-1133
Mailing address
2435 S AVENUE A STE C, YUMA, AZ 85364-7176
(928) 344-1111
(928) 344-1133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23201
AZ
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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