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Individual

KATHERINE M MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25564
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01255645
CO
01
P00159207
RAILROAD MEDICARE
CO
Enumeration date
08/08/2006
Last updated
07/08/2007
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