Individual
DR. ELIZABETH A. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1156 HIGH ST, SANTA CRUZ, CA 95064-1099
(831) 459-1740
(831) 459-1740
Mailing address
3725 MANORBROOK RD, RALEIGH, NC 27607-6009
(919) 617-8521
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
2007-01057
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082065
TUFTS HEALTH PLAN
MA
01
—
J10752
BC/BS OF MA
MA
Enumeration date
08/17/2006
Last updated
08/16/2019
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