person
Carol W Miller
Surgical Physician Assistant in Farmington, New Mexico
NPI 1336201136

Carol W Miller is a Surgical Physician Assistant based in Farmington, NM and is specialized in Surgical. Carol W Miller practices in Farmington, NM. The NPI Number for Carol W Miller is 1336201136 and holds a License No. PA2004-0032 (New Mexico).

The current practice location address for Carol W Miller is 2300 E 30Th St Bldg D, Farmington, NM and can be reached out via phone at 505-327-1400 and via fax at 505-566-3202. You can also correspond with Carol W Miller through the mailing address at 2300 E 30TH ST BLDG D, FARMINGTON, NM - 87401-8990 (mailing address contact number: 505-327-1400).

Location: 2300 E 30Th St Bldg D, Farmington, NM, 87401-8990
person
Provider Profile Details
NPI Number
1336201136
Provider Name
Carol W Miller
Credential
Provider Entity Type
Individual
Gender
Female
Address
2300 E 30Th St Bldg D, Farmington, NM, 87401-8990
Phone Number
505-327-1400
Fax Number
505-566-3202
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
52889718 05 NM
institution
Provider Business Practice Location Address Details
Address
2300 E 30Th St Bldg D
City
State
Zip
87401-8990
Phone Number
505-327-1400
Fax Number
505-566-3202
person
Provider Business Mailing Address Details
Address
2300 E 30Th St Bldg D
City
State
Zip
87401-8990
Phone Number
505-327-1400
Fax Number
505-566-3202
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA2004-0032 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA2004-0032 (New Mexico)
Definition
Definition to come...
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