Provider Demographics
NPI:1437107752
Name:PHILLIPS AND MILLER LTD
Entity Type:Organization
Organization Name:PHILLIPS AND MILLER LTD
Other - Org Name:GERIATRIC CARE OF NEVADA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURGUIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-884-2455
Mailing Address - Street 1:PO BOX 21609
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89721-1609
Mailing Address - Country:US
Mailing Address - Phone:775-884-2455
Mailing Address - Fax:775-883-0345
Practice Address - Street 1:5250 NEIL RD
Practice Address - Street 2:SUITE 201
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6555
Practice Address - Country:US
Practice Address - Phone:775-884-2455
Practice Address - Fax:775-883-0345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV34223Medicare PIN