Organization
MILLER CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANCE B MILLER MD (PRESIDENT)
(928) 684-2425
Entity
Organization
Contact information
Practice address
500 SAVAGE ST, WICKENBURG, AZ 85390
(928) 684-2425
(928) 684-0387
Mailing address
PO BOX 100, WICKENBURG, AZ 85358-0100
(928) 684-2425
(928) 684-0387
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9739
AZ
Other
Enumeration date
11/07/2006
Last updated
10/16/2007
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