Individual
DR. MARC L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 SANTA ROSA DR STE 301, KINGMAN, AZ 86401-2311
(928) 681-8730
(928) 681-8731
Mailing address
51 SEWALL ST, PORTLAND, ME 04102-2643
(207) 774-5761
(207) 874-7478
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
59883
AZ
207RR0500X
Rheumatology Physician
MD11083
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307490099
—
ME
01
—
59883
ARIZONA MEDICAL BOARD
AZ
Enumeration date
08/26/2005
Last updated
02/27/2024
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