Provider Demographics
NPI:1033852553
Name:MILLER, JAMES LEE JR
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LEE
Last Name:MILLER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22546 E UNION PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-5544
Mailing Address - Country:US
Mailing Address - Phone:303-731-9400
Mailing Address - Fax:
Practice Address - Street 1:19070 E SUNLIGHT WAY BLDG 1000A
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-9574
Practice Address - Country:US
Practice Address - Phone:720-250-2886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant