Individual
JAMES IRA MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM, NEPHROLOGY (111N), LOMA LINDA, CA 92357-1000
(909) 583-6090
(909) 777-3858
Mailing address
11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM, NEPHROLOGY (111N), LOMA LINDA, CA 92357-1000
(909) 583-6090
(909) 777-3858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G61383
CA
207RN0300X
Nephrology Physician
Primary
G61383
CA
Other
Enumeration date
09/04/2006
Last updated
11/05/2014
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