MEDICARE: PAUL DENNIS MILLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	18842	CO

General Provider Information

NPI Number	:	1174663819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL DENNIS MILLER MD

Provider Business Mailing Address
First Line	:	6655 W JEWELL AVE. STE 2
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80232-7108
Country	:	US
Telephone Number	:	303-284-2352
Fax Number	:	303-284-2384

Provider Business Practice Location Address
First Line	:	6655 W JEWELL AVE. STE 2
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80232-7108
Country	:	US
Telephone Number	:	303-284-2352
Fax Number	:	303-284-2384

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	11/03/2020

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