Individual
MR. BENJAMIN J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2120 S RESERVE ST # 133, MISSOULA, MT 59801-6451
(406) 550-9012
(801) 772-7767
Mailing address
17207 146TH SEAVE, RENTON, WA 98058-8700
(406) 550-9256
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30006070
WA
363L00000X
Nurse Practitioner
Primary
RN26399
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9632027
—
WA
Enumeration date
07/12/2006
Last updated
10/27/2015
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