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Individual

ARNOLD MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A109498
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01170182
MEDICAID
CO
01
427288
MEDICAID
AZ
05
Q9756
NM
Enumeration date
12/27/2005
Last updated
05/23/2008
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