Individual
STEVEN LYLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2571 MALIBU CT, COLTON, CA 92324-9788
(909) 824-7966
Mailing address
2571 MALIBU COURT, COLTON, CA 92324
(909) 824-7966
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
DR.0061555
CO
208600000X
Surgery Physician
MD00042389
WA
208600000X
Surgery Physician
Primary
MD27109
OR
2086S0129X
Vascular Surgery Physician
M3023
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178805101
—
TX
Enumeration date
07/12/2006
Last updated
11/27/2018
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