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Individual

MR. DOUGLAS DEAN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, FNP

Contact information

Practice address
1014 ELM AVE, ROCKY FORD, CO 81067-1328
(719) 254-7421
(719) 254-6966
Mailing address
1014 ELM AVE, ROCKY FORD, CO 81067-1328
(719) 254-7421
(719) 254-6966

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
106502, RXN, NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
70077371
CO
Enumeration date
08/24/2005
Last updated
06/04/2020
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