Individual
JUDY ANGELA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2000
Mailing address
2917 E 211TH ST S, MOUNDS, OK 74047-5070
(918) 694-1474
(918) 366-1028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4215
OK
207R00000X
Internal Medicine Physician
DO2022-0067
NM
208M00000X
Hospitalist Physician
Primary
DO2022-0067
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200061470A
—
OK
Enumeration date
05/25/2006
Last updated
08/25/2025
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