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

Individual provider Medical Physician Assistant · NPI 1609152479

Mandie Miller, DMS, PA-C is a Medical Physician Assistant in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
Specialties on file
2
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

17505 N 79th Ave Ste 309
Glendale, AZ 85308-8730
Phone: (623) 321-2221
Fax: (855) 397-2676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4918 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 4918 (AZ)

Record details

NPI number1609152479
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMS , PA-C
Sole proprietorNo
NPI enumeratedOctober 25, 2011
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

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