Provider Demographics
NPI:1437820412
Name:MILLER, ALAN L (ND)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:L
Last Name:MILLER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 COBALT AVE
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-6373
Mailing Address - Country:US
Mailing Address - Phone:208-290-5194
Mailing Address - Fax:
Practice Address - Street 1:6598 BUTTERCUP DR UNIT 4
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80549-2289
Practice Address - Country:US
Practice Address - Phone:970-402-3721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COND.0000214175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath