Healthcare Provider Details

I. General information

NPI: 1588800403
Provider Name (Legal Business Name): RAINEY B MILLET M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2008
Last Update Date: 07/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5533 E. BELL ROAD SUITE 103
SCOTTSDALE AZ
85254
US

IV. Provider business mailing address

5533 E. BELL ROAD SUITE 103
SCOTTSDALE AZ
85254
US

V. Phone/Fax

Practice location:
  • Phone: 602-466-1111
  • Fax: 602-795-4706
Mailing address:
  • Phone: 602-466-1111
  • Fax: 602-795-4706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number70153
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: