Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A55231 | CA |
NPI | 1043214026 |
---|---|
Provider Name | Dr. Rebecca Dawn Miller |
First Address | Santa Barbara, CA 93111-2475 |
Second Address | Santa Barbara, CA 93111-2475 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A552310 | (05) | CA |