Individual
JACOB SCOTT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4601 MARTIN LUTHER KING JR AVE SW, WASHINGTON, DC 20032-1131
(202) 574-5700
Mailing address
2819 11TH ST NW, WASHINGTON, DC 20001-3901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA031435
DC
363AM0700X
Medical Physician Assistant
Primary
PA031435
DC
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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