Individual
TAMARA S. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1619
Mailing address
PO BOX 95460, CLEVELAND, OH 44101-0033
(602) 581-6080
(602) 263-1619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36881
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222545
—
AZ
Enumeration date
06/14/2007
Last updated
11/10/2023
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