Jeffrey D. Miller, Md, P.c. | |
6727 Academy Rd Ne Ste C Albuquerque NM 87109-3369 | |
(505) 292-1818 | |
(505) 293-2952 |
Full Name | Jeffrey D. Miller, Md, P.c. |
---|---|
Speciality | Family Medicine |
Location | 6727 Academy Rd Ne Ste C, Albuquerque, New Mexico |
Authorized Official Name and Position | Jeffrey David Miller (SOLE OWNER) |
Authorized Official Contact | 5052202981 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jeffrey D. Miller, Md, P.c. 6727 Academy Rd Ne Ste C Albuquerque NM 87109-3369 Ph: (505) 292-1818 | Jeffrey D. Miller, Md, P.c. 6727 Academy Rd Ne Ste C Albuquerque NM 87109-3369 Ph: (505) 292-1818 |
NPI Number | 1447530142 |
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Provider Enumeration Date | 08/25/2011 |
Last Update Date | 11/13/2018 |
Medicare PECOS PAC ID | 5193998920 |
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Medicare Enrollment ID | O20111024000130 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447530142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | FA0099744 (New Mexico) | Primary |
Provider Name | Jeffrey D Miller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578657953 PECOS PAC ID: 8628110525 Enrollment ID: I20100114000613 |
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