Individual
WALTER MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3740 SANTA ROSALIA DR APT 308, LOS ANGELES, CA 90008-3624
(323) 385-6469
Mailing address
3740 SANTA ROSALIA DR APT 308, LOS ANGELES, CA 90008-3624
(323) 385-6469
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
RHN00003576
CA
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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