Organization
LEON MILLER, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON MILLER (MEDICAL DOCTOR - OWNER)
(505) 982-3111
Entity
Organization
Contact information
Practice address
839 C PASEO DE PERALTA, SANTA FE, NM 87501
(505) 982-3111
(505) 982-1148
Mailing address
1202 GALISTEO STREET, SANTA FE, NM 87505
(505) 982-3111
(505) 982-1148
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19067
—
NM
Enumeration date
07/28/2008
Last updated
07/31/2008
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