Individual
DR. MICHAEL LAWRENCE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4207 E COTTON CENTER BLVD # CC10, PHOENIX, AZ 85040-8893
(602) 648-8900
Mailing address
PO BOX 840294, DALLAS, TX 75284-0294
(888) 344-1160
(972) 331-3148
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
43915
CO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
005353
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
43915
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121885900
—
WY
05
—
149056
—
MT
05
—
67175830
—
CO
05
—
826380900
—
MN
05
—
977027
—
AZ
05
—
Z2953
—
UT
Enumeration date
03/15/2006
Last updated
03/21/2018
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