Organization
JOHN J MILLER MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA S SHOEMAKER (OFFICE MANAGER)
(360) 537-7577
Entity
Organization
Contact information
Practice address
1220 BASICH BLVD STE B, ABERDEEN, WA 98520-1070
(360) 537-7577
Mailing address
105 S BROADWAY ST, ABERDEEN, WA 98520-6211
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AB38331
MEDICARE ID
WA
Enumeration date
04/12/2007
Last updated
03/28/2023
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