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Individual

MS. JANET G MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
201 CEDAR ST SE STE 5630, ALBUQUERQUE, NM 87106-4920
(505) 563-6399
(505) 563-6680
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2018-0012
NM
363AS0400X
Surgical Physician Assistant
013666
NY
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
09/25/2009
Last updated
04/10/2018
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