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Individual

STANTON YALE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9200 WALL ST, AUSTIN, TX 78754-4534
(512) 339-1275
Mailing address
5600 SMU BLVD APT 1417, DALLAS, TX 75206-5260

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
T4661
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/18/2018
Last updated
10/17/2024
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