Provider Demographics
NPI:1043391535
Name:MILLER, ARTHUR N (MD)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:N
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 41908
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85080-1908
Mailing Address - Country:US
Mailing Address - Phone:602-973-3100
Mailing Address - Fax:602-973-0978
Practice Address - Street 1:5757 W THUNDERBIRD ROAD
Practice Address - Street 2:SUITE E-155
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-2248
Practice Address - Country:US
Practice Address - Phone:623-247-1081
Practice Address - Fax:623-247-2962
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8895207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ200238Medicaid
AZ200238Medicaid