Whalio Doctors

NPI 1245303718

Jordan J Miller, MD

Practitioner Procedural Dermatology Physician Flagstaff, AZ

Practice location

Address
1490 N Turquoise Dr, Flagstaff, AZ 86001-1383
Phone
(928) 774-5074
Fax
(928) 779-0884

Registered specialties (4)

Procedural Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence 41332 (AZ)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence ME113245 (FL)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 41332 (AZ)
MOHS-Micrographic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 41332 (AZ)

Registry record

NPI
1245303718
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Nov 2006
Record last updated
28 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.