Individual
MS. MARTHA R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5300 E ERICKSON, #120, TUCSON, AZ 85712
(520) 382-6506
(520) 382-6509
Mailing address
5300 E ERICKSON, #120, TUCSON, AZ 85712
(520) 382-6506
(520) 382-6509
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25610
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400664
—
AZ
Enumeration date
11/10/2005
Last updated
03/21/2011
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