Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD043497L | PA |
NPI | 1023056850 |
---|---|
Provider Name | Dr. Donald Miller |
First Address | Oxnard, CA 93030-0191 |
Second Address | Oxnard, CA 93030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 14/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110119969 | RAILROAD (01) | PA |
1427468 | (05) | PA |
F51245 | (02) | PA |