Individual
DR. MARK MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
450 S CAMINO DEL RIO, SUITE 101, DURANGO, CO 81301-6856
(970) 247-3613
(970) 247-5823
Mailing address
450 S CAMINO DEL RIO, SUITE 101, DURANGO, CO 81301-6856
(970) 247-3613
(970) 247-5823
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1837
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08918377
—
CO
Enumeration date
09/27/2007
Last updated
09/27/2007
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