Individual
RONALD C MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26260 N 74TH DR, PEORIA, AZ 85383-7363
(419) 601-1945
Mailing address
26260 N 74TH DR, PEORIA, AZ 85383-7363
(419) 601-1945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43230
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
625202
—
AZ
Enumeration date
06/07/2006
Last updated
02/28/2022
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