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Contact Information

DAVID L MILLER, PA-C
7400 MENAUL BLVD NE
ALBUQUERQUE, NM87110-3636
 Phone: 505-552-5300
 Fax: 505-552-5490
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DAVID L MILLER · (Male)

NPI # 1770699407
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/23/2006
Last updated 07/09/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • LA License # PA.200433
  • NM License # PA2015-0004
  • TX License # PA03057
  • NM Medicaid H3451
  • LA Other PA.200433 LOUISIANA BOARD OF MEDICAL EXAMINERS
  • NM Other PA 2015-0004 PA LICENSE
  • TX Other PA03057 TEXAS BOARD OF MEDICAL EXAMINERS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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