Individual
MANDIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMS, PA-C
Contact information
Practice address
17505 N 79TH AVE STE 309, GLENDALE, AZ 85308-8730
(623) 321-2221
(855) 397-2676
Mailing address
17505 N 79TH AVE STE 309, GLENDALE, AZ 85308-8730
(623) 321-2221
(855) 397-2676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4918
AZ
363AM0700X
Medical Physician Assistant
4918
AZ
Other
Enumeration date
10/25/2011
Last updated
11/21/2024
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