Individual
ALEXANDER WALLACE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4633
(602) 744-4765
(602) 744-4799
Mailing address
645 E MISSOURI AVE, STE 300, PHOENIX, AZ 85012-1351
(602) 262-8917
(602) 262-8890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
40167
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340052
—
AZ
01
—
P00733373
MEDICARE RAILROAD
—
Enumeration date
05/13/2008
Last updated
08/02/2022
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