Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 24557 | NE |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD60604844 | WA |
NPI | 1336310945 |
---|---|
Provider Name | Dr. Nathaniel R Miller |
First Address | Liberty Lake, WA 99019-0421 |
Second Address | Spokane, WA 99204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2008 |
Last Update Date | 19/09/2019 |