Individual
DANIEL R MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
18444 N 25TH AVE, SUITE 210, PHOENIX, AZ 85023-1261
(623) 537-5600
(866) 939-2673
Mailing address
18444 N 25TH AVE, SUITE 310, PHOENIX, AZ 85023-1261
(623) 537-5600
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4922
AZ
363AM0700X
Medical Physician Assistant
4922
AZ
363AS0400X
Surgical Physician Assistant
Primary
4922
AZ
Other
Enumeration date
12/08/2011
Last updated
01/17/2014
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