Individual
JOHN E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2454 HWY 6 AND 50 STE 104, GRAND JUNCTION, CO 81505-1117
(970) 249-7751
Mailing address
300 S NEVADA AVE, MONTROSE, CO 81401-4273
(970) 249-7751
(970) 249-5029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA18794
CA
363AM0700X
Medical Physician Assistant
Primary
PA-2548
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002548
STATE LICENSE
CO
Enumeration date
01/18/2007
Last updated
06/12/2019
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