Individual
JON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G74592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G745920
—
CA
05
—
1730107517
—
CA
Enumeration date
07/18/2006
Last updated
07/21/2020
Update your record
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