Individual provider · Type 1 NPI

Carol W. Miller

Medical Physician Assistant · Farmington, NM

NPI number 1336201136 Active

Practice location

2300 E 30th St Bldg D, Ste 101
Farmington, NM 87401-8990

Fax (505) 566-3202

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA2004-0032 (NM)
Surgical Physician Assistant 363AS0400XPA2004-0032 (NM)

Medical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1336201136

Carol W. Miller's National Provider Identifier is 1336201136, issued on Dec 15, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Farmington, NM. The record was last updated on Apr 15, 2016.