Individual
BRUCE A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8300 CONSTITUTION NE, PMG KASEMAN SLEEP DISORDER CENTER, ALBUQUERQUE, NM 87110-7624
(505) 291-2700
(505) 291-2989
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
207R00000X
Internal Medicine Physician
72-198
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
72-198
NM
207RP1001X
Pulmonary Disease Physician
72198
NM
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
72-198
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19059
—
NM
Enumeration date
10/04/2006
Last updated
05/25/2016
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