Individual
MARK H. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
138 SUDDERTH DR, RUIDOSO, NM 88345-6025
(575) 257-1566
(575) 257-4600
Mailing address
225 JACK LITTLE DR, RUIDOSO, NM 88345-7721
(575) 258-3921
(575) 257-4600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5979
NM
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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