Individual
AMELIA G MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1125 SE WASHINGTON ST, PULLMAN, WA 99164-1018
(509) 335-3575
(509) 335-6223
Mailing address
PO BOX 642302, PULLMAN, WA 99164-2302
(509) 335-3575
(509) 335-6223
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60800394
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2092688
—
WA
Enumeration date
09/04/2012
Last updated
09/03/2019
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