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Individual

ANDREA B MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1669 W INA RD STE 101, TUCSON, AZ 85704-1976
(520) 795-6183
(520) 298-9230
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(520) 290-0300
(520) 298-9230

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27713
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106517
PACIFICARE SECURE HORIZON
01
110247583
RR MEDICARE
01
1Z9370
HEALTHNET
01
860780125
CIGNA
01
AZ0728510
BLUE CROSS BLUE SHIELD
01
AZ0839620
BLUE CROSS BLUE SHIELD
01
AZ860780125
UNITED HEALTHCARE
Enumeration date
12/01/2005
Last updated
12/22/2022
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