Mark Miller, MD, PC
Pathology, Anatomic Pathology & Clinical Pathology in Flagstaff, AZ. Organization (NPI-2).
NPI number1447459367
StatusActive
Last updated in NPPESJul 11, 2007
Details
- NPI
- 1447459367
- Entity type
- Organization (NPI-2)
- Legal business name
- Mark Miller, MD, PC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2007
- Last updated
- Jul 11, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | – | – | Yes |
Practice location
1200 N Beaver StFlagstaff, AZ 86001-3118
Phone 928-526-1112
Mailing address
Po Box 30488Flagstaff, AZ 86003-0488
Authorized official
Mark E Miller
President
9285261112
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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