Individual
DR. BRIAN GLENN MILLS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
975 SAINT JOHN PL, STE B, HEMET, CA 92543-4428
(951) 658-2256
(951) 658-8956
Mailing address
975 SAINT JOHN PL, SUITE B, HEMET, CA 92543-4428
(951) 658-2256
(951) 658-8956
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E4315
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E43150
—
CA
01
—
E4315
LICENSE
CA
01
—
P00101130
RAILROAD MEDICARE
—
Enumeration date
05/24/2005
Last updated
03/16/2012
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