Fred Douglas Miller in Phoenix - Geriatric Medicine
Fred Douglas Miller - NPI 1124028220
Fred Douglas Miller is a Geriatric Medicine in Phoenix, Arizona. Fred Douglas Miller practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Fred Douglas Miller is 1124028220. The last update date is 2007-07-08.
Fred Douglas Miller's current location address is 15216 N 11th St, Phoenix, Arizona. You can contact this provider via phone number 5202413183 and fax number 6028660684. The mailing address for Fred Douglas Miller is 15216 N 11th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Douglas Miller |
|---|---|
| Address | 15216 N 11th St, Phoenix, Arizona |
| Phone Number | 5202413183 |
| Fax Number | 6028660684 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124028220 |
|---|---|
| Provider Enumeration Date | 2005-07-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15216 N 11th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850223734 |
| Phone Number | 5202413183 |
| Fax Number | 6028660684 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | 12217 |
|
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AZ0725850 | AZ | BLUE CROSS/BLUE SHIELD | |
| 263773 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Fred Douglas Miller by the Centers for Medicare & Medicaid Services?
The Fred Douglas Miller has been assigned the NPI (National Provider Identifier) 1124028220 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Fred Douglas Miller is physically located?
The Fred Douglas Miller is situated at the following address: 15216 N 11Th St, Phoenix, AZ 850223734.
What is Fred Douglas Miller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Fred Douglas Miller's specialized field of practice is Geriatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qg0300X.
On what date did Fred Douglas Miller receive its 1124028220 assignment from the Centers for Medicare & Medicaid Services?
The Fred Douglas Miller was assigned its 1124028220 on 2005-07-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Fred Douglas Miller's details last updated?
The information pertaining to the Fred Douglas Miller, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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