Individual
JEFFREY D MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6727 ACADEMY RD NE STE C, ALBUQUERQUE, NM 87109-3369
(505) 292-1818
(505) 293-2952
Mailing address
6727 ACADEMY RD NE STE C, ALBUQUERQUE, NM 87109-3369
(505) 292-1818
(505) 293-2952
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
93335
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12919
—
NM
Enumeration date
10/03/2006
Last updated
02/22/2019
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