Provider Demographics
NPI:1952365983
Name:MILLER, STEPHANIE ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:ALEXANDER
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8490 E CRESCENT PKWY STE 380
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2815
Mailing Address - Country:US
Mailing Address - Phone:303-320-7826
Mailing Address - Fax:303-320-7842
Practice Address - Street 1:4545 E 9TH AVE STE 375
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3987
Practice Address - Country:US
Practice Address - Phone:303-296-1370
Practice Address - Fax:303-296-5085
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO40794208600000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO83102876Medicaid
CO501668Medicare ID - Type Unspecified