Individual
DR. STUART M. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 SANTA MONICA BLVD, SUITE 470W, SANTA MONICA, CA 90404-2102
(310) 264-2561
Mailing address
2001 SANTA MONICA BLVD, SUITE 470W, SANTA MONICA, CA 90404-2102
(310) 264-2561
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G22661
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G226610
MEDICAL
CA
01
—
G22661
LISCENSE
CA
Enumeration date
08/10/2006
Last updated
07/09/2007
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