Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | A126020 | CA |
NPI | 1215187083 |
---|---|
Provider Name | Marian C Miller |
First Address | Little Rock, AR 72215-5050 |
Second Address | Little Rock, AR 72205-6523 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2008 |
Last Update Date | 13/01/2021 |