Organization
DOLORES M. MILLER
Active
Other names
Personal Choice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOLORES MAY MILLER (MASTECTOMY FITTER)
(520) 459-0170
Entity
Organization
Contact information
Practice address
3512 QUAIL RUN DR, SIERRA VISTA, AZ 85635-3550
(520) 459-0170
(520) 459-1241
Mailing address
3512 QUAIL RUN DR, SIERRA VISTA, AZ 85635-3550
(520) 459-0170
(520) 459-1241
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
02029087
AZ
Other
Enumeration date
02/15/2008
Last updated
07/07/2008
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