Individual
DR. PETER E MILLER
Active
Individual
DR. PETER E MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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