Provider Demographics
NPI:1114110194
Name:MILLER, AARON UDELL (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:UDELL
Last Name:MILLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5341 S SUPERSTITION MOUNTAIN DR
Mailing Address - Street 2:STE. D101
Mailing Address - City:GOLD CANYON
Mailing Address - State:AZ
Mailing Address - Zip Code:85218-2069
Mailing Address - Country:US
Mailing Address - Phone:480-983-2249
Mailing Address - Fax:480-983-1541
Practice Address - Street 1:5341 S SUPERSTITION MOUNTAIN DR
Practice Address - Street 2:STE. D101
Practice Address - City:GOLD CANYON
Practice Address - State:AZ
Practice Address - Zip Code:85218-2069
Practice Address - Country:US
Practice Address - Phone:480-983-2249
Practice Address - Fax:480-983-1541
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002338A111N00000X
AZ7952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor