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Individual

RUSSELL CHARLES MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
425 S CHERRY ST STE 300, DENVER, CO 80246
(888) 209-0305
(952) 442-3620
Mailing address
1768 S OGDEN ST, DENVER, CO 80210-3243
(720) 837-4701

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
7765483-8901
TX
367500000X
Certified Registered Nurse Anesthetist
77654838901
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0990790-CRNA
CO

Other

Enumeration date
02/04/2013
Last updated
12/04/2018
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