Individual
DR. TIMOTHY JUSTIN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8926 WOODYARD RD, STE 301, CLINTON, MD 20735-4220
(301) 856-3670
(301) 868-0129
Mailing address
7801 OLD BRANCH AVE, STE 300, CLINTON, MD 20735-1608
(301) 856-6718
(301) 856-6599
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
H0081237
MD
2085R0202X
Diagnostic Radiology Physician
Primary
0102202428
VA
2085R0202X
Diagnostic Radiology Physician
15141C
WY
2085R0202X
Diagnostic Radiology Physician
19096
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821399239
—
VA
05
—
922303700
—
MD
Enumeration date
11/16/2010
Last updated
12/28/2023
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