Individual
MATTHEW MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2149
(702) 724-8787
(702) 824-9585
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 838-1456
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24300
NV
208600000X
Surgery Physician
LP03965
RI
390200000X
Student in an Organized Health Care Education/Training Program
MT219493
PA
Other
Enumeration date
06/22/2017
Last updated
09/28/2023
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