Individual
JOHN M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
335 W SOUTH BOULDER ROAD, SUITE 5, LOUISVILLE, CO 80027-1192
(303) 665-1195
(303) 665-8144
Mailing address
335 W SOUTH BOULDER ROAD, SUITE 5, LOUISVILLE, CO 80027-1192
(303) 665-1195
(303) 665-8144
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
454
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01004548
—
CO
Enumeration date
12/04/2006
Last updated
07/07/2010
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