Individual
LAURA KLEIN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
435 E GLENN ST, TUCSON, AZ 85705-4664
(520) 696-6969
(520) 696-6971
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 682-4570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37668
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z118425
MEDICARE PTAN
AZ
Enumeration date
10/22/2007
Last updated
07/12/2012
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