Individual
NATHAN LEE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6057 N 1ST ST, SUITE #105, FRESNO, CA 93710-5468
(559) 436-8193
Mailing address
3505 N INDIANOLA AVE, SANGER, CA 93657-9325
(559) 259-6518
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA21116
CA
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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