Miller, Fred Douglas
Miller, Fred Douglas is an individual health care provider with primary practice located at 2250 N Craycroft Rd Ste 2200, Tucson AZ 85712-2802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Miller, Fred Douglas can be contacted via phone (520) 241-3183.Contact Information
Primary practice address
2250 N Craycroft Rd Ste 2200
Tucson AZ 85712-2802
Phone: (520) 241-3183
Fax: (520) 546-3433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12217 | Arizona |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 12217 | Arizona |
Profile Details
| NPI number | 1124028220 |
|---|---|
| LBN Legal business name | Miller, Fred Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124028220 | NPPES |
| Arizona | Other | AZ0725850 | BLUE CROSS/BLUE SHIELD |
| Arizona | MEDICAID | 263773 | BLUE CROSS/BLUE SHIELD |
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