Individual
MICHAEL E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 327-5660
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005314
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003036
LICENSE NUMBER
IL
Enumeration date
12/07/2007
Last updated
12/29/2022
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