Miller, Blaine R

Miller, Blaine R is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Miller, Blaine R can be contacted via phone (602) 933-4660.

Contact Information

Primary practice address
1919 E Thomas Rd Phoenix AZ 85016-7710
Phone: (602) 933-4660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 32835 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 009491 Arizona

Profile Details

NPI number 1952357030
LBN Legal business name Miller, Blaine R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jan 16th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952357030 NPPES
Minnesota MEDICAID 291797100
Minnesota MEDICAID 212681

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