Individual
DEREK J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
5201 HARRY HINES BLVD, GRADUATE MEDICAL EDUCATION, DALLAS, TX 75235-7708
(214) 590-8058
Mailing address
PO BOX 64369, TUCSON, AZ 85728-4369
(415) 254-8674
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
51560
AZ
Other
Enumeration date
04/28/2010
Last updated
09/24/2020
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