Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | C41913 | CA |
NPI | 1003967423 |
---|---|
Provider Name | Dr. Ernest Burton Miller |
First Address | San Luis Obispo, CA 93401-2541 |
Second Address | San Luis Obispo, CA 93401-2541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2007 |
Last Update Date | 08/07/2007 |