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NPI Code Detail

MEDICARE: ANGELA S MILLER MD PLLC

MEDICARE: ANGELA S MILLER MD PLLC
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1629677984
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGELA S MILLER MD PLLC
Provider Business Mailing Address
First Line : 8435 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2892
Country : US
Telephone Number : 702-808-3880
Fax Number :
Provider Business Practice Location Address
First Line : 8435 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2892
Country : US
Telephone Number : 702-808-3880
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ANGELA S MILLER
Credential : MD
Telephone Number : 702-808-3880
Provider Enumeration Date : 10/19/2020
Last Update Date : 10/19/2020

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