Individual
DR. JONATHAN PAUL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 MILL ST STE 300, RENO, NV 89502-1576
(775) 982-4090
(775) 982-6271
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21660
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15044857
CAQH #
NV
01
—
211660
NV MD LIC
NV
Enumeration date
06/23/2008
Last updated
11/08/2022
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