Healthcare Provider Details

I. General information

NPI: 1952365983
Provider Name (Legal Business Name): STEPHANIE ALEXANDER MILLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 HALE PKWY STE 430
DENVER CO
80220-4000
US

IV. Provider business mailing address

8490 E CRESCENT PKWY STE 380
GREENWOOD VILLAGE CO
80111-2815
US

V. Phone/Fax

Practice location:
  • Phone: 303-296-1370
  • Fax:
Mailing address:
  • Phone: 303-320-7826
  • Fax: 303-320-7842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number40794
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number40794
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: