Provider Demographics
NPI:1982672176
Name:MILLER, EFREM (MD)
Entity Type:Individual
Prefix:
First Name:EFREM
Middle Name:
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 29338
Mailing Address - Street 2:DEPT 1010
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85038
Mailing Address - Country:US
Mailing Address - Phone:480-844-7100
Mailing Address - Fax:480-512-5486
Practice Address - Street 1:2421 E SOUTHERN AVE
Practice Address - Street 2:STE 7
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7612
Practice Address - Country:US
Practice Address - Phone:480-425-2160
Practice Address - Fax:480-351-8797
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2021-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ17606207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
Z65794Medicare ID - Type Unspecified
E03501Medicare UPIN