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Individual

DR. JORDAN J MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1490 N TURQUOISE DR, FLAGSTAFF, AZ 86001-1383
(928) 774-5074
(928) 779-0884
Mailing address
1490 N TURQUOISE DR, FLAGSTAFF, AZ 86001-1383
(928) 774-5074
(928) 779-0884

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
41332
AZ
207N00000X
Dermatology Physician
ME113245
FL
207ND0101X
MOHS-Micrographic Surgery Physician
41332
AZ
207NS0135X
Procedural Dermatology Physician
Primary
41332
AZ

Other

Enumeration date
11/15/2006
Last updated
01/28/2021
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