Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 51864 | WI |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | BM9049291 | IL |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | C131453 | CA |
NPI | 1326234568 |
---|---|
Provider Name | Dr. Trevor John Miller |
First Address | Sacramento, CA 95817-2307 |
Second Address | Sacramento, CA 95817-2307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2007 |
Last Update Date | 15/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1326234568 | (05) | WI |