Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 32112 | AZ |
N | 208600000X | Surgeon | 32112 | AZ |
Y | 2086S0105X | Surgery of the Hand | 32112 | AZ |
NPI | 1508885575 |
---|---|
Provider Name | Steven H. Miller |
First Address | Mesa, AZ 85206-1620 |
Second Address | Mesa, AZ 85206-1620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 01/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
250514 | (05) | AZ |
D44273 | (02) | AZ |