Healthcare Provider Details

I. General information

NPI: 1669471280
Provider Name (Legal Business Name): MILLER & TURNER OB-GYN LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 W HORIZON RIDGE PKWY STE 130
HENDERSON NV
89052-4427
US

IV. Provider business mailing address

PO BOX 777250
HENDERSON NV
89077-7250
US

V. Phone/Fax

Practice location:
  • Phone: 702-862-8862
  • Fax: 702-862-8774
Mailing address:
  • Phone: 702-862-8862
  • Fax: 702-862-8774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DONNA MILLER
Title or Position: OWNER
Credential: MD
Phone: 702-862-8862