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1457371742

NPI Code Detail

MEDICARE: DR. HEIDI S. MCMILLAN MD

MEDICARE: DR. HEIDI S. MCMILLAN 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	208000000X	Pediatrics Physician	50159	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9631177	OTHER		CIGNA
2	12-00960	OTHER		UNITED HEALTHCARE
3	107040638101	OTHER	UT	SELECT HEALTH
4	590424112000001	OTHER		BLUE CROSS
5	85592	OTHER	UT	PEHP

General Provider Information

NPI Number	:	1457371742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEIDI S. MCMILLAN MD

Provider Business Mailing Address
First Line	:	PO BOX 1328
Second Line	:
City	:	DURANGO
State	:	CO
Zip	:	81302-1328
Country	:	US
Telephone Number	:	970-335-2342
Fax Number	:	970-335-2438

Provider Business Practice Location Address
First Line	:	150 MERCURY VILLAGE DR
Second Line	:
City	:	DURANGO
State	:	CO
Zip	:	81301-8955
Country	:	US
Telephone Number	:	970-335-2342
Fax Number	:	970-335-2438

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	02/09/2026

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Directions to “ DR. HEIDI S. MCMILLAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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