Individual
GREGORY S MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 WEST 5TH AVE, STE 230E, SPOKANE, WA 99204-2483
(509) 838-8561
(509) 835-4058
Mailing address
104 WEST 5TH AVE, STE 230E, SPOKANE, WA 99204-2483
(509) 838-8828
(509) 835-4058
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01094502A
IN
207L00000X
Anesthesiology Physician
Primary
24677
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027945
—
WA
01
—
1101947466
ANTHEM PTAN
IN
05
—
300094143
—
IN
Enumeration date
07/31/2006
Last updated
12/05/2024
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