Individual
PHILLIP MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10099 RIDGEGATE PKWY STE 200, LONE TREE, CO 80124-5532
(720) 874-2411
Mailing address
2050 TALLOKAS RD, MOULTRIE, GA 31768-7666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
93458
GA
Other
Enumeration date
04/24/2018
Last updated
02/22/2024
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