Martha R Miller Md Pc | |
5300 E Erickson Dr Ste 120 Tucson AZ 85712-2828 | |
(520) 382-6506 | |
(520) 382-6509 |
Full Name | Martha R Miller Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 5300 E Erickson Dr, Tucson, Arizona |
Authorized Official Name and Position | Martha R Miller (PRESIDENT OWNER) |
Authorized Official Contact | 5203826506 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Martha R Miller Md Pc 5300 E Erickson Dr Ste 120 Tucson AZ 85712-2828 Ph: (520) 382-6506 | Martha R Miller Md Pc 5300 E Erickson Dr Ste 120 Tucson AZ 85712-2828 Ph: (520) 382-6506 |
NPI Number | 1871670554 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 09/04/2007 |
Medicare PECOS PAC ID | 5799784609 |
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Medicare Enrollment ID | O20061206000188 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871670554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25610 (Arizona) | Primary |
Provider Name | Martha R Miller |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902887524 PECOS PAC ID: 7810968740 Enrollment ID: I20040804000821 |
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