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Individual

KIM L MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4712 E DYNAMITE BLVD, CAVE CREEK, AZ 85331-6243
(480) 342-8711
(480) 342-7077
Mailing address
2500 W UTOPIA RD, SUITE 100, PHOENIX, AZ 85027-4171
(623) 434-6200
(623) 434-6164

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30394
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
822959
AZ
Enumeration date
06/02/2006
Last updated
05/10/2016
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