Individual
MICHAEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3216
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3216
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0102205389
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
20A20013
CA
208D00000X
General Practice Physician
0102205389
VA
Other
Enumeration date
04/07/2017
Last updated
04/11/2023
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