Individual
MATTHEW CLIFTON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-2111
(619) 532-6400
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-2111
(619) 532-6400
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0116038236
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2023
Last updated
06/12/2024
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