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Organization

GERALD W. MILLER, MD A PROFFESSIONAL CORP

Active
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Organization

GERALD W. MILLER, MD A PROFFESSIONAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GERALD W MILLER MD (OWNER/ PHYSICIAN)
(562) 377-6303
Entity
Organization

Contact information

Practice address
3816 WOODRUFF AVE, SUITE 312, LONG BEACH, CA 90808-2147
(562) 377-6303
(562) 420-2285
Mailing address
3816 WOODRUFF AVE, SUITE 312, LONG BEACH, CA 90808-2147
(562) 377-6303
(562) 420-2285

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A180270
—
CA
Enumeration date
11/03/2009
Last updated
11/03/2009
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