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Individual

DR. PETER E MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7605 FOREST AVE STE 308, RICHMOND, VA 23229-4939
(804) 288-7077
Mailing address
7605 FOREST AVE STE 308, RICHMOND, VA 23229-4939
(804) 288-7077

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
240934
MA
208C00000X
Colon & Rectal Surgery Physician
Primary
0101260090
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101260090
MEDICAL LICENSE
VA
01
C04411
MEDICARE PTAN
01
LP03381
LIMITED LICENSE NUMBER
RI
Enumeration date
07/13/2009
Last updated
09/02/2016
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