Individual
JASON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, MAIL STOP 315-02-TGE, TACOMA, WA 98405-4234
(253) 403-4901
Mailing address
4302 N STEVENS ST, TACOMA, WA 98407-6612
(303) 818-0701
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT194867
PA
Other
Enumeration date
06/19/2009
Last updated
02/06/2013
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