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Krista Miller, PA

Physician Assistant in Englewood, CO. Individual provider (NPI-1).

NPI number1063079986
StatusActive
Last updated in NPPESJan 27, 2022

Details

NPI
1063079986
Entity type
Individual (NPI-1)
Name
Krista Miller
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
May 27, 2019
Certification date
Oct 11, 2021
Last updated
Jan 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA.0007014COYes

Practice location

601 E Hampden Ave Ste 310
Englewood, CO 80113-2769

Phone 706-863-9595 · Fax 706-868-8375

Mailing address

Po Box 12330
Augusta, GA 30914-2330

Phone 706-863-9595 · Fax 706-868-8375

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