Doctor Name: | DR. ANGELA MARIE MILLS |
NPI Number: | 1215152954 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 5307 |
Business Practice Address: | 1801 16th St Greeley, CO - 806315154 |
Business Phone Number: | 9704810170 |
Business Fax Number: | 9704810170 |
Mailing Address: | 1001 E Harmony Rd Unit A, #407 FORT COLLINS |
State: | CO |
Postal Code: | 805258888 |
Phone Number: | 9704810170 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 10/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5307 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |