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NPI Code Detail

MEDICARE: DAVID J MILLER

MEDICARE: DAVID J MILLER
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
1207W00000XOphthalmology PhysicianR80208AZ

General Provider Information

NPI Number : 1508434119
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID J MILLER
Provider Business Mailing Address
First Line : 1632 STONE ST
Second Line :
City : SAGINAW
State : MI
Zip : 48602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 655 N ALVERNON WAY STE 204
Second Line :
City : TUCSON
State : AZ
Zip : 85711-1825
Country : US
Telephone Number : 520-626-2010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2021
Last Update Date : 08/02/2023

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Directions to “ DAVID J MILLER ” Practice Location

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