Dr. Jordan J Miller
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
1490 N Turquoise Dr
Flagstaff
, Arizona 86001-1383
Dr. Jordan J Miller
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
1490 N Turquoise Dr
Flagstaff
, Arizona 86001-1383
(928) 779-0884
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Jordan J Miller
- 1490 N Turquoise Dr
- Flagstaff, AZ
- Zip : 86001-1383
- Fax : (928) 779-0884
- Phone : (928) 774-5074
Second Address
- Dr. Jordan J Miller
- 1490 N Turquoise Dr
- Flagstaff, AZ
- Zip : 86001-1383
- Fax : (928) 779-0884
- Phone : (928) 774-5074
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 41332 | AZ |
| N | 207N00000X | Dermatologist | ME113245 | FL |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 41332 | AZ |
| Y | 207NS0135X | Procedural Dermatology | 41332 | AZ |
National Provider Identifier
| NPI | 1245303718 |
|---|---|
| Provider Name | Dr. Jordan J Miller |
| First Address | Flagstaff, AZ 86001-1383 |
| Second Address | Flagstaff, AZ 86001-1383 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2006 |
| Last Update Date | 28/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C59725 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.