Individual
STEPHANIE N MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1115 2ND ST, FORT LUPTON, CO 80621-1745
(303) 857-2771
(720) 322-9434
Mailing address
203 S ROLLIE AVE, BILLING DEPT - CREDENTIALIST, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0002117
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83338578
—
CO
Enumeration date
02/15/2006
Last updated
05/31/2016
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