Individual
DR. DARRELL M. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
406 SE 131ST AVE, SUITE 101, VANCOUVER, WA 98683-4004
(360) 253-2822
(360) 253-8642
Mailing address
4421 NE ST JOHNS RD, VANCOUVER, WA 98661-2573
(360) 695-9922
(360) 695-1310
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15075
WA
208D00000X
General Practice Physician
Primary
15075
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8106502
—
WA
Enumeration date
09/09/2005
Last updated
08/06/2009
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