| Doctor Name: | MOLLIE T MILLER |
| NPI Number: | 1053638064 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 48291 |
| Business Practice Address: | 1339 Phay Ave Canon City, CO - 812122301 |
| Business Phone Number: | 7192852700 |
| Business Fax Number: | 7192852455 |
| Mailing Address: | Dept 1057, DENVER |
| State: | CO |
| Postal Code: | 802911057 |
| Phone Number: | 3034865500 |
| Fax Number: | 3034865502 |
| NPI Enumeration Date: | 04/29/2010 |
| NPI Last Update Date: | 04/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | 48291 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |