Individual
GINA ALICE ETOLL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MSC 10-5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 272-4661
(505) 272-4628
Mailing address
MSC 10-5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4661
(505) 272-4628
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2021-0457
NM
Other
Enumeration date
04/02/2018
Last updated
10/11/2022
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