Individual
BRENT PAUL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
99 CANAL LANDING BLVD STE 6, ROCHESTER, NY 14626-5112
(585) 247-4770
(585) 247-4268
Mailing address
99 CANAL LANDING BLVD STE 6, ROCHESTER, NY 14626-5112
(585) 247-4770
(585) 247-4268
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
295091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05270080
—
NY
Enumeration date
06/13/2013
Last updated
06/24/2020
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