Individual
DUANE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7455 N 95TH AVE APT 1022, GLENDALE, AZ 85305-1352
(574) 364-5875
Mailing address
7455 N 95TH AVE APT 1022, GLENDALE, AZ 85305-1352
(574) 364-5875
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
01027831
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
54412
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082220
ANTHEM
IN
01
—
010029956
RAIL ROAD MEDICARE
IN
05
—
100145690
—
IN
05
—
102669220
—
MI
Enumeration date
03/06/2006
Last updated
02/15/2020
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