Basic Information
| Provider Information | |||||||||
| NPI: | 1548472459 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MILLER | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | CHRISTOPHER | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3540 W SAHARA AVE | ||||||||
| Address2: | SUITE 831 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891025816 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7022563637 | ||||||||
| FaxNumber: | 7022563307 | ||||||||
| Practice Location | |||||||||
| Address1: | 3121 S MARYLAND PKWY | ||||||||
| Address2: | SUITE 412 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891092307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7023092311 | ||||||||
| FaxNumber: | 7023092177 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2007 | ||||||||
| LastUpdateDate: | 03/10/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | 12716 | NV | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.