Provider Demographics
NPI:1194817155
Name:DOZIER, MIGUEL T (MD)
Entity Type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:T
Last Name:DOZIER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3917 WEST ROAD
Mailing Address - Street 2:STE 128
Mailing Address - City:LOS ALAMOS
Mailing Address - State:NM
Mailing Address - Zip Code:87544
Mailing Address - Country:US
Mailing Address - Phone:505-662-4234
Mailing Address - Fax:505-662-7894
Practice Address - Street 1:3917 WEST ROAD
Practice Address - Street 2:STE 128
Practice Address - City:LOS ALAMOS
Practice Address - State:NM
Practice Address - Zip Code:87544
Practice Address - Country:US
Practice Address - Phone:505-662-4234
Practice Address - Fax:505-662-7894
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2008-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM90-186207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NME59260Medicare UPIN