MOLLIE T MILLER NPI 1053638064

NPI Information

Mollie T Miller is an obstetrics obstetrics gynecology in Canon City, CO with 22 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee Mollie T Miller NPI is 1053638064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1339 PHAY AVE
CANON CITY, CO
ZIP 81212-301
Phone: (719) 285-2700
Fax: (719) 285-2455

The NPI 1053638064 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/29/2010 and was last updated on 4/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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