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Individual

SAMUEL DEAN MILLER IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 739-3000
Mailing address
531 CUESTA PL, ARROYO GRANDE, CA 93420-2001
(714) 390-7650

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4349
AZ
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
20A9888
CA

Other

Enumeration date
10/11/2006
Last updated
02/03/2009
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