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Individual

DR. F. WILLIAM MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD08175
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139401
MEDICARE PTAN
05
233981
OR
01
MD08175
STATE LICENSE
OR
01
R139365
GROUP MEDICARE PIN
OR
Enumeration date
12/27/2006
Last updated
01/04/2008
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