Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bret Lee Jacobsen Miller, PA-C

Individual provider Physician Assistant · NPI 1265864359

Bret Lee Jacobsen Miller, PA-C is a Physician Assistant in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11034 N 23rd Dr Ste 105B
Phoenix, AZ 85029-4743
Phone: (602) 639-0189
Fax: (844) 955-2502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 — (520) 381-6300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5445 (AZ)

Record details

NPI number1265864359
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 31, 2013
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021

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