Provider Demographics
NPI:1043007859
Name:MILLER TOWNSEND, SYDNEY KRISTIN (MD)
Entity type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:KRISTIN
Last Name:MILLER TOWNSEND
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:SYDNEY
Other - Middle Name:KRISTIN
Other - Last Name:TOWNSEND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1300 N 12TH ST STE 508
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2849
Mailing Address - Country:US
Mailing Address - Phone:602-839-3927
Mailing Address - Fax:
Practice Address - Street 1:1300 N 12TH ST STE 508
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2849
Practice Address - Country:US
Practice Address - Phone:602-839-3927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program