Miller, Judy Angela

Miller, Judy Angela is an individual health care provider with primary practice located at 801 W Maple St , Farmington NM 87401-5630. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Miller, Judy Angela can be contacted via phone (505) 609-2000.

Contact Information

Primary practice address
801 W Maple St Farmington NM 87401-5630
Phone: (505) 609-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO2022-0067 New Mexico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4215 Oklahoma

Profile Details

NPI number 1417903329
LBN Legal business name Miller, Judy Angela
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Feb 16th, 2024 - about 2 years 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 1417903329 NPPES
Oklahoma MEDICAID 200061470A

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