Individual
MRS. GRACE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
925 E MCDOWELL RD, PHOENIX, AZ 85006
(480) 256-6444
(480) 256-3682
Mailing address
925 E MCDOWELL RD, PHOENIX, AZ 85006
(480) 256-6444
(480) 256-3682
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10051
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212852
—
AZ
Enumeration date
07/17/2023
Last updated
03/12/2025
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