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Organization
ADVANCED VALLEY EYE ASSOCIATES
Active
Organization
ADVANCED VALLEY EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B MILLER M. D. (PRESIDENT)
(530) 757-6000
Entity
Organization
Contact information
Practice address
2035 LYNDELL TERRACE, SUITE 100, DAVIS, CA 95616
(530) 757-6000
(530) 668-9560
Mailing address
2035 LYNDELL TERRACE, SUITE 100, DAVIS, CA 95616
(530) 757-6000
(530) 668-9560
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G50646
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3159116
CORPORATE ID
CA
05
—
9743438
—
CA
Enumeration date
09/17/2008
Last updated
03/09/2015
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