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Individual

DR. LOUIS MARK MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S DEL VALLE WAY, YUMA, AZ 85364-6294
(928) 580-0820
(928) 344-1133
Mailing address
2160 S DEL VALLE WAY, YUMA, AZ 85364-6294
(928) 580-0820
(928) 344-1133

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
23201
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
189565
AHCCCS
AZ
Enumeration date
07/12/2006
Last updated
01/19/2023
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