Individual
STEPHEN J MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1500 CONTINENTAL PL, MOUNT VERNON, WA 98273-4105
(360) 424-7041
(360) 424-8449
Mailing address
1500 CONTINENTAL PL, MOUNT VERNON, WA 98273-4105
(360) 424-7041
(360) 424-8449
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000233
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1872506
—
WA
01
—
57751
LABOR AND INDUSTRIES
WA
Enumeration date
07/19/2005
Last updated
07/08/2007
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