Individual
JESSE N MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
138171
CA
208800000X
Urology Physician
44919
CO
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
138171
CA
2088P0231X
Pediatric Urology Physician
138171
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138171
MEDICAL LICENSE
CA
05
—
25385763
—
CO
01
—
P00647968
RAILROAD MEDICARE
CO
Enumeration date
01/26/2007
Last updated
11/10/2015
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