Individual
JUSTIN DAVID MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 5TH ST SE STE 110, PUYALLUP, WA 98374-2106
(253) 845-9585
(253) 848-1126
Mailing address
3801 5TH ST SE STE 110, PUYALLUP, WA 98374-2106
(253) 845-9585
(253) 848-1126
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD61265817
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
A135513
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
MD61265817
WA
Other
Enumeration date
07/01/2009
Last updated
06/16/2022
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