Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | G62799 | CA |
NPI | 1134103120 |
---|---|
Provider Name | Dr. Dana Miller-Blair |
First Address | Sacramento, CA 95823-4671 |
Second Address | Sacramento, CA 95823-4671 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2005 |
Last Update Date | 08/07/2007 |