Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 227187 | MA |
N | 111NI0900X | Internist | 227187 | MA |
Y | 207RH0002X | Hospice and Palliative Medicine | A88083 | CA |
NPI | 1376598920 |
---|---|
Provider Name | Miss Bruce L Miller JR. |
First Address | Rancho Santa Fe, CA 92067-0366 |
Second Address | San Francisco, CA 94143-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 13/02/2018 |