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Individual

MARK F MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2801 SANTA MARIA WAY, SANTA MARIA, CA 93455-2118
(805) 934-5400
(805) 938-9207
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8028
(805) 361-8097

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E-3301
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E3301
LIC
CA
Enumeration date
09/13/2005
Last updated
03/07/2023
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