Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD60463420 | WA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 2013006690 | MO |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD60463420 | WA |
NPI | 1447423934 |
---|---|
Provider Name | Dr. Doyle Joshua Miller |
First Address | Richland, WA 99352 |
Second Address | Richland, WA 99352 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2008 |
Last Update Date | 18/06/2021 |