Organization
BRIAN G MILLS, DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN G MILLS DPM (PRESIDENT)
(951) 658-2256
Entity
Organization
Contact information
Practice address
975 SAINT JOHN PL, STE B, HEMET, CA 92543-4428
(951) 658-2256
Mailing address
975 ST JOHN PLACE, STE B, HEMET, CA 92543
(951) 658-2256
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4315
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E43150
—
CA
01
—
E43150
LICENSE
—
01
—
U63121
UPIN
—
Enumeration date
05/02/2008
Last updated
05/02/2008
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