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Individual

DR. BRIAN RANDLE MCMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3551 ROGER BROOKE DR, MCHE-QD (CREDS), FT. SAM HOUSTON, TX 78234-4504
(301) 335-5408
Mailing address
3551 ROGER BROOKE DR, MCHE-QD (CREDS), FT. SAM HOUSTON, TX 78234-4504
(301) 335-5408

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2007-01694
NC
207L00000X
Anesthesiology Physician
L6112
TX
207L00000X
Anesthesiology Physician
Primary
OS15610
FL

Other

Enumeration date
08/30/2006
Last updated
01/17/2019
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