Healthcare Provider Details

I. General information

NPI: 1114992450
Provider Name (Legal Business Name): EUGENIA M MILLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 07/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MERCADO STREET SUITE 130
DURANGO CO
81301-7306
US

IV. Provider business mailing address

181 EAST 56TH AVENUE SUITE 100
DENVER CO
80216-1756
US

V. Phone/Fax

Practice location:
  • Phone: 970-247-1120
  • Fax: 970-247-3664
Mailing address:
  • Phone: 303-295-8737
  • Fax: 303-298-1161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number23294
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: