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Individual

DR. MARK EDMUND MILLER II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 FAIRMOUNT AVE, 205, PASADENA, CA 91105-3150
(626) 405-1513
Mailing address
800 FAIRMOUNT AVE, 205, PASADENA, CA 91105-3150
(626) 405-1513

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A76869
CA

Other

Enumeration date
05/18/2006
Last updated
06/05/2013
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