Individual
DR. ETHAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 CAPEHART RD # NE68113, OFFUTT AFB, NE 68113-1043
(402) 232-2273
Mailing address
2501 CAPEHART ROAD, BELLEVUE, NE 68123
(402) 232-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35451
NE
390200000X
Student in an Organized Health Care Education/Training Program
35451
NE
Other
Enumeration date
06/02/2021
Last updated
07/23/2024
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