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Alexis Marie Mills, MD
Military Health Care Provider in Wpafb, Ohio
NPI 1235717117

Alexis Marie Mills is a Military Health Care Provider based in Wpafb, OH. Alexis Marie Mills practices in Wpafb, OH and has the professional credentials of MD. The NPI Number for Alexis Marie Mills is 1235717117 and holds a License No. (Ohio).

The current practice location address for Alexis Marie Mills is 4881 Sugar Maple Dr, Wpafb, OH and can be reached out via phone at 937-522-4784.

Location: 4881 Sugar Maple Dr, Wpafb, OH, 45433-5529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235717117
Provider Name
Alexis Marie Mills
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4881 Sugar Maple Dr, Wpafb, OH, 45433-5529
Phone Number
937-522-4784
Fax Number
Provider Enumeration Date
03/31/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35.147037 01 OH MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
4881 Sugar Maple Dr
City
Wpafb
State
Ohio
Zip
45433-5529
Phone Number
937-522-4784
Fax Number
person
Provider Business Mailing Address Details
Address
4881 Sugar Maple Dr
City
Wpafb
State
Ohio
Zip
45433-5529
Phone Number
937-522-4784
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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