Provider Demographics
NPI:1114992450
Name:MILLER, EUGENIA M (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENIA
Middle Name:M
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:181 EAST 56TH AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-1756
Mailing Address - Country:US
Mailing Address - Phone:303-295-8737
Mailing Address - Fax:303-298-1161
Practice Address - Street 1:1 MERCADO STREET
Practice Address - Street 2:SUITE 130
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-7306
Practice Address - Country:US
Practice Address - Phone:970-247-1120
Practice Address - Fax:970-247-3664
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2010-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO23294207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01232941Medicaid
CO01232941Medicaid
COC217638Medicare ID - Type Unspecified