Individual
DR. JONATHAN THOMAS MILLER
Active
Individual
DR. JONATHAN THOMAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP1-0016661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3296030707
MYUTMB 3296030707-COMMERCIAL NUMBER
—
Enumeration date
06/15/2007
Last updated
03/26/2019
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