Individual
DR. DEMARA NICOLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
131 STONY CIR STE 1600, SANTA ROSA, CA 95401-9520
(707) 541-7800
(707) 573-5428
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 541-7800
(707) 573-5428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A143444
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A143444
STATE MEDICAL LICENSE
CA
Enumeration date
05/18/2011
Last updated
12/19/2019
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