MEDICARE: DR. FRANKLIN MILLER M.D.

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	207RP1001X	Pulmonary Disease Physician	75-211	NM
2	207R00000X	Internal Medicine Physician	75-211	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659375194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANKLIN MILLER M.D.

Provider Business Mailing Address
First Line	:	1900 HOT SPRINGS BLVD
Second Line	:	SUITE D
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-3481
Country	:	US
Telephone Number	:	505-425-3596
Fax Number	:	505-425-2789

Provider Business Practice Location Address
First Line	:	1900 HOT SPRINGS BLVD
Second Line	:	SUITE D
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-3481
Country	:	US
Telephone Number	:	505-425-3596
Fax Number	:	505-425-2789

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	06/25/2015

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