Individual
DR. MARK DOUGLAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6230 N DURANGO DR, LAS VEGAS, NV 89149-3916
(702) 737-3937
(702) 737-8860
Mailing address
6230 N DURANGO DR, LAS VEGAS, NV 89149-3916
(702) 737-3937
(702) 737-8860
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
279
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002502000
—
NV
Enumeration date
11/07/2006
Last updated
08/31/2017
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