Individual
DANE E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10535 PARK MEADOWS BLVD, SUITE 301, LONE TREE, CO 80124
(303) 662-8250
(303) 662-8249
Mailing address
10535 PARK MEADOWS BLVD, SUITE 301, LONE TREE, CO 80124
(303) 662-8250
(303) 662-8249
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 570
AR
363A00000X
Physician Assistant
Primary
PA.0006361
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5II96
ABCBS
AR
01
—
PA 570
AR MEDICAL LICENSE
AR
Enumeration date
07/15/2014
Last updated
07/20/2021
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