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Organization

ROBERT BRUCE MILLER, M.D.,INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT BRUCE MILLER M.D. (OWNER)
(510) 795-7746
Entity
Organization

Contact information

Practice address
4535 MATTOS DR, FREMONT, CA 94536-6736
(510) 795-7746
(510) 795-7710
Mailing address
PO BOX 8310, FREMONT, CA 94537-8310
(510) 795-7745
(510) 795-7710

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A76380
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A76380
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A763800
CA
01
250013702
RR MEDICARE PROV #
CA
01
352194600
OWCP #
CA
01
A76380
LIC #
CA
Enumeration date
10/18/2006
Last updated
09/28/2015
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