NPI 1366505364

Mark E Miller, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Cottonwood, AZ

Practice location

Address: 269 S Candy Ln, Cottonwood, AZ 86326-4158
Phone: (928) 639-6180
Fax: (928) 639-6698
Mailing address: 1200 N Beaver St Payer Credentialing, Flagstaff, AZ 86001-3118

Registered specialties (2)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 36457 (AZ)

Other Pathology providers in Arizona →

Anatomic Pathology & Clinical Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 5414499-1205 (UT)

Registry record

NPI: 1366505364
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2006
Record last updated: 18 Dec 2015

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.