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
Fax: (520) 546-3433
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124028220 NPPES
Arizona Other AZ0725850 BLUE CROSS/BLUE SHIELD
Arizona MEDICAID 263773 BLUE CROSS/BLUE SHIELD

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