Individual
JOHN CARLYLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1266 ESCALANTE DR STE 201, DURANGO, CO 81303-8934
(970) 259-5303
(970) 259-3510
Mailing address
1266 ESCALANTE DR STE 201, DURANGO, CO 81303-8934
(970) 259-5303
(970) 259-3510
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0000909
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
467
NM
213ES0103X
Foot & Ankle Surgery Podiatrist
48
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00112001
BCBSND
ND
05
—
11968
—
ND
Enumeration date
04/14/2006
Last updated
10/27/2022
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