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Individual

PRESTON DAVID MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3051 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2248
(928) 772-2591
(928) 772-1148
Mailing address
2000 W PINE DR, PRESCOTT, AZ 86305-7516
(602) 614-9094

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1257
AZ

Other

Enumeration date
03/20/2009
Last updated
05/19/2010
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